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Organization

FOOT AND ANKLE CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN S HETELSON D.P.M. (PRESIDENT)
(215) 638-3338
Entity
Organization

Contact information

Practice address
2222 BRISTOL PIKE, BENSALEM, PA 19020-5210
(215) 638-3338
(215) 638-3030
Mailing address
2222 BRISTOL PIKE, BENSALEM, PA 19020-5210
(215) 638-3338
(215) 638-3030

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005050870001
PA
01
0060599000
PERSONAL CHOICE BLUE SHIE
PA
01
0099228
HIGHMARK BLUE SHIELD
PA
01
1033324
KEYSTONE MERCY
PA
01
CF3240
PALMETTO GBA
Enumeration date
04/13/2006
Last updated
12/09/2009
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