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Organization
HIGHLAND PARK PODIATRY,PC
Active
Organization
HIGHLAND PARK PODIATRY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN CHERELLA DPM (PRESIDENT)
(610) 449-2345
Entity
Organization
Contact information
Practice address
8011 W CHESTER PIKE, UPPER DARBY, PA 19082-1317
(610) 449-2345
(610) 449-2577
Mailing address
8011 W CHESTER PIKE, UPPER DARBY, PA 19082-1317
(610) 449-2345
(610) 449-2577
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148848104
—
PA
01
—
170112
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
08/18/2006
Last updated
11/29/2007
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