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Organization
SERENITY FOOT AND ANKLE CENTER, L.L.C.
Active
Organization
SERENITY FOOT AND ANKLE CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA TERESA IBANEZ D.P.M. (OWNER)
(215) 622-8523
Entity
Organization
Contact information
Practice address
624 E GIRARD AVE, PHILADELPHIA, PA 19125-3437
(215) 425-0211
Mailing address
624 E GIRARD AVE, PHILADELPHIA, PA 19125-3437
(215) 425-0211
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006004
PA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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