Organization
JOHN J DEGOVANN DPM PC
Active
Other names
Manayunk Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D SANDY DPM (PRESIDENT)
(215) 487-0475
Entity
Organization
Contact information
Practice address
5735 RIDGE AVE STE 203, PHILADELPHIA, PA 19128-1747
(215) 487-0475
(215) 487-0171
Mailing address
5735 RIDGE AVE STE 203, PHILADELPHIA, PA 19128-1747
(215) 487-0475
(215) 487-0171
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
SC001467L
PA
Other
Enumeration date
05/02/2012
Last updated
07/21/2022
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