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Organization

FOOT HEALTH CENTERS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANINE COTTRILL (OFFICE MANAGER)
(856) 795-1003
Entity
Organization

Contact information

Practice address
6418 WOODLAND AVE, PHILADELPHIA, PA 19142-2323
(215) 729-4553
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005060570003
PA
01
0060618000
KEYSTONE HEALTH PLAN EAST
PA
01
0509880008
NATIONAL HERITAGE INS. CO
PA
01
20770
HEALTH PARTNERS
PA
01
31881
KEYSTONE MERCY
PA
Enumeration date
08/18/2006
Last updated
08/22/2020
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