Organization
SUBURBAN SPINE AND ORTHOPEDIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD J FOTI D.O. (PROPRIETOR)
(610) 558-1001
Entity
Organization
Contact information
Practice address
931 E HAVERFORD RD STE 202, BRYN MAWR, PA 19010-3838
(610) 558-1001
(610) 558-1180
Mailing address
931 E HAVERFORD RD STE 202, BRYN MAWR, PA 19010-3838
(610) 558-1001
(610) 558-1180
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OS 009073L
PA
Other
Enumeration date
10/05/2009
Last updated
10/14/2018
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