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Organization
FOOT AND ANKLE EXCELLENCE, INC
Active
Organization
FOOT AND ANKLE EXCELLENCE, INC
Active
Other names
Foot and Ankle Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUNI LEKA DPM (OWNER)
(215) 698-6133
Entity
Organization
Contact information
Practice address
1900 GRANT AVE STE B, PHILADELPHIA, PA 19115-4370
(215) 698-6133
(215) 698-6144
Mailing address
1927 GOODNAW ST, PHILADELPHIA, PA 19115-4720
(215) 698-6133
(215) 698-6144
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006479
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032590600001
—
PA
Enumeration date
06/02/2016
Last updated
07/21/2022
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