Organization
SPRINGFIELD PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE B. SIEGERMAN D.P.M. (OWNER)
(484) 521-0233
Entity
Organization
Contact information
Practice address
648 CHILDS AVE, DREXEL HILL, PA 19026-3805
(484) 521-0233
(484) 521-0235
Mailing address
648 CHILDS AVE, DREXEL HILL, PA 19026-3805
(484) 521-0233
(484) 521-0235
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC003867L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1329473
PA BLUE SHIELD
PA
Enumeration date
09/04/2006
Last updated
02/29/2008
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