Organization
RAPHA FOOT AND ANKLE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONG LEE DPM (OWNER)
(267) 974-8705
Entity
Organization
Contact information
Practice address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Mailing address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009302350001
—
PA
Enumeration date
01/29/2018
Last updated
01/29/2018
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