Organization
ANKLE AND FOOT SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY A MOTE DPM (PRESIDENT/CEO)
(484) 470-5736
Entity
Organization
Contact information
Practice address
701 N CLAYTON ST STE 400, WILMINGTON, DE 19805-3165
(484) 470-5736
Mailing address
717 N UNION ST STE 120, WILMINGTON, DE 19805-3031
(484) 470-5736
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1-0000193
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
SC-005870
PA
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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