Organization
HEALTHDRIVE PODIATRY GROUP, PC
Active
Parent organization
HEALTHDRIVE PODIATRY GROUP, PC
Other names
HealthDrive Podiatry Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHDRIVE PODIATRY GROUP, PC
Authorized official
DR. SHADI ADIB ABBOUD DPM (TREASURER/PRACTICE DIRECTOR)
(857) 255-0486
Entity
Organization
Contact information
Practice address
12 PENNS TRAIL, SUITE 154, NEWTOWN, PA 18940-3438
(215) 675-3005
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015488010010
—
PA
01
—
0055313000
KEYSTONE HEALTH PLAN EAST
PA
01
—
835574
BLUE CROSS BLUE SHIELD
PA
01
—
DA3720
RAILROAD
PA
Enumeration date
06/30/2006
Last updated
12/31/2019
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