Organization
THE FOOT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD L CHAIRMAN M.D (OWNER)
(215) 732-0200
Entity
Organization
Contact information
Practice address
1840 SOUTH STREET LOWER LEVEL, PENN MEDICINE AT RITTENHOUSE, PHILA, PA 19146-8405
(215) 732-0200
Mailing address
PO BOX 290, GLADWYNE, PA 19035-0290
(215) 732-0200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001337L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0657525000
KEYSTONE
PA
Enumeration date
10/11/2007
Last updated
07/09/2010
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