Organization
NORTHEAST FAMILY FOOT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA G. MYERS DPM (OWNER)
(215) 673-3200
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE, SUITE 303, PHILADELPHIA, PA 19115-2184
(215) 673-3200
(215) 673-3884
Mailing address
9892 BUSTLETON AVE, SUITE 303, PHILADELPHIA, PA 19115-2184
(215) 673-3200
(215) 673-3884
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC004123-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018883000
INDEPENDENCE BLUE CROSS
PA
01
—
32994
HEALTH ANDSENIOR PARTNERS
PA
01
—
480034747
RAILROAD MEDICARE
PA
01
—
GOO1124200
AMERICHOICE
PA
Enumeration date
05/16/2007
Last updated
11/13/2009
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