Organization
RAPHA FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONG MIN LEE DPM (OWNER)
(215) 289-7007
Entity
Organization
Contact information
Practice address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Mailing address
10 LIBERTE LN, CHESTERBROOK, PA 19087-5721
(610) 584-4143
(610) 584-4143
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009302350001
—
PA
01
—
5288640001
MEDICARE NAC (DME)
PA
Enumeration date
02/29/2008
Last updated
03/22/2016
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