Organization
PHILADELPHIA FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY GOSS DPM (PHYSICIAN)
(215) 425-3700
Entity
Organization
Contact information
Practice address
2075 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
(215) 425-3700
(215) 425-5233
Mailing address
2075 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
(215) 425-3700
(215) 425-5233
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004111L
PA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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