Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Active
Parent organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Other names
Berkshire Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
50 BERKSHIRE CT STE 1, WYOMISSING, PA 19610-1219
(610) 373-4154
Mailing address
50 S 16TH ST FL 17, PHILADELPHIA, PA 19102-3530
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/26/2024
Last updated
02/28/2024
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