Organization
ADVANCED FOOT & ANKLE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LIWSKI DPM (PRESIDENT)
(724) 654-5433
Entity
Organization
Contact information
Practice address
1000 S. MERCER ST., 4TH FLOOR JAMESON SOUTH, NEW CASTLE, PA 16101-4672
(724) 654-5433
(724) 654-3278
Mailing address
1000 S. MERCER ST., 4TH FLOOR JAMESON SOUTH, NEW CASTLE, PA 16101-4672
(724) 654-5433
(724) 654-3278
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005768
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024235280001
—
PA
01
—
2141024
HIGHMARK BLUE SHIELD
PA
01
—
DQ0498
MEDICARE TRAVELERS
PA
Enumeration date
12/08/2009
Last updated
02/02/2016
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