Organization
A FOOT ABOVE PODIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A. MONACO DPM (PRESIDENT)
(610) 446-1392
Entity
Organization
Contact information
Practice address
1120 TOWNSHIP LINE RD, SUITE 300, HAVERTOWN, PA 19083-3431
(610) 446-1392
(610) 449-2933
Mailing address
1120 TOWNSHIP LINE RD, SUITE 300, HAVERTOWN, PA 19083-3431
(610) 446-1392
(610) 449-2933
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1441884
PA BLUE SHIELD
PA
01
—
2126580000
KEYSTONE HEALTH PLAN EAST
PA
01
—
30003681
KEYSTONE MERCY
PA
01
—
3059832
AETNA
PA
Enumeration date
04/10/2006
Last updated
11/13/2013
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