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Organization
HEALTHDRIVE PODIATRY GROUP, PC
Active
Organization
HEALTHDRIVE PODIATRY GROUP, PC
Active
Parent organization
HEALTHDRIVE PODIATRY GROUP, PC
Other names
HealthDrive Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHDRIVE PODIATRY GROUP, PC
Authorized official
DR. SHADI ADIB ABBOUD DPM (TREASURER/PRACTICE DIRECTOR)
(857) 255-0486
Entity
Organization
Contact information
Practice address
12 PENNS TRAIL, SUITE 154, NEWTOWN, PA 18940-3438
(215) 675-3005
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015488010022
DME
PA
Enumeration date
10/16/2006
Last updated
12/31/2019
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