Organization
FOOT & ANKLE SPECIALTY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANGOTTI DPM (PRESIDENT)
(215) 659-4400
Entity
Organization
Contact information
Practice address
2400 MARYLAND ROAD, SUITE 30, WILLOW GROVE, PA 19090-1748
(215) 659-4400
(215) 659-5931
Mailing address
2400 MARYLAND ROAD, SUITE 30, WILLOW GROVE, PA 19090-1748
(215) 659-4400
(215) 659-5931
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002408L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012685300004
—
PA
01
—
0048278000
INDEPENDENCE BLUE CROSS
PA
01
—
CA4263
MEDICARE - PALMETTO GBA
—
Enumeration date
05/19/2006
Last updated
09/13/2010
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