Organization
CENTER FOR FOOT & ANKLE EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY GOSS DPM (PROVIDER)
(215) 483-2006
Entity
Organization
Contact information
Practice address
5735 RIDGE AVE, STE 208, PHILADELPHIA, PA 19128-1745
(215) 483-2006
(215) 483-2066
Mailing address
5735 RIDGE AVE, STE 208, PHILADELPHIA, PA 19128-1745
(215) 483-2006
(215) 483-2066
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004111L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024531700001
—
PA
Enumeration date
04/07/2010
Last updated
12/31/2013
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