Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
123 CHESTNUT ST STE 201, PHILADELPHIA, PA 19106-3051
(215) 923-2455
(484) 535-5446
Mailing address
123 CHESTNUT ST STE 201, PHILADELPHIA, PA 19106-3051
(856) 702-2500
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
11/21/2024
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