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Organization

FOOT AND ANKLE SPECIALISTS OF CENTRAL PA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN DUKATE (CREDENTIALING SPECIALIST)
(904) 515-2625
Entity
Organization

Contact information

Practice address
4 FLOWERS DR, MECHANICSBURG, PA 17050-1701
(215) 205-6973
Mailing address
4 FLOWERS DR, MECHANICSBURG, PA 17050-1701

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1031386180001
PA
Enumeration date
08/22/2016
Last updated
10/10/2019
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