Organization
NOVA FOOT AND ANKLE
Active
Other names
Nova Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LUONG DPM (OWNER)
(267) 761-9780
Entity
Organization
Contact information
Practice address
3200 FRANKFORD AVENUE 3 FL, 3 FL, PHILADELPHIA, PA 19134
(267) 761-9780
(267) 761-9781
Mailing address
3200 FRANKFORD AVENUE 3 FL, 3 FL, PHILADELPHIA, PA 19134
(267) 761-9780
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760688063
—
PA
Enumeration date
06/17/2021
Last updated
07/28/2021
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