Organization
A1 FOOT AND ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN GOLDSTEIN M.ED., DPM (PHYSICIAN/OWNER)
(724) 224-2498
Entity
Organization
Contact information
Practice address
2130 FREEPORT RD, SUITE A, NATRONA HEIGHTS, PA 15065-1542
(724) 224-2498
(724) 224-1192
Mailing address
2130 FREEPORT RD, SUITE A, NATRONA HEIGHTS, PA 15065-1542
(724) 224-2498
(724) 224-1192
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC005921
PA
213ER0200X
Radiology Podiatrist
SC005921
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005921
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023993420002
—
PA
01
—
137985
MEDICARE PTAN
PA
Enumeration date
03/02/2015
Last updated
03/02/2015
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