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Organization
NORTHEAST FOOT AND ANKLE SPECIALISTS, PC
Active
Organization
NORTHEAST FOOT AND ANKLE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT MOSHEYEV DPM (PRESIDENT)
(215) 464-2000
Entity
Organization
Contact information
Practice address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-2000
(215) 464-6046
Mailing address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-2000
(215) 464-6046
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC-009751
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-009751
PA
Other
Enumeration date
12/21/2010
Last updated
02/17/2012
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