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Organization
PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
Active
Organization
PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA MARIE PICCILLO DPM (PARTNER)
(570) 417-4755
Entity
Organization
Contact information
Practice address
500 FAIRMOUNT AVE FL 1, PHILADELPHIA, PA 19123-2890
(267) 909-9594
(267) 367-5559
Mailing address
PO BOX 40068, PHILADELPHIA, PA 19106-0068
(267) 909-9594
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
06/02/2022
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