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Organization

LIFECARE PODIATRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK I CHASE D.P.M. (OWNER)
(610) 293-9383
Entity
Organization

Contact information

Practice address
237 N ABERDEEN AVE, WAYNE, PA 19087-3537
(610) 293-9383
(610) 293-0409
Mailing address
237 N ABERDEEN AVE, WAYNE, PA 19087-3537
(610) 293-9383
(610) 293-0409

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000426244
FEDERAL BLUE SHIELD
01
000426244
HIGHMARK BLUE SHIELD
05
0015921020004
PA
01
0099575000
KEYSTONE HEALTH PLAN EAST
05
1000021434
DE
01
1011348
KEYSTONE MERCY
01
18844
HEALTH PARTNERS
01
426244
BLUE CROSS BLUE SHIELD
01
CF2898
RAILROAD MEDICARE
01
LI426244
US HEALTHCARE
Enumeration date
05/25/2006
Last updated
03/20/2023
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