Organization
FOOT AND ANKLE EXCELLENCE, INC
Active
Other names
Foot and Ankle Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUNI LEKA DPM (OWNER)
(215) 698-6133
Entity
Organization
Contact information
Practice address
1900 GRANT AVE STE B, PHILADELPHIA, PA 19115-4370
(215) 698-6133
(215) 698-6144
Mailing address
1927 GOODNAW ST, PHILADELPHIA, PA 19115-4720
(215) 698-6133
(215) 698-6144
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006479
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032590600001
—
PA
Enumeration date
06/02/2016
Last updated
07/21/2022
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