Organization
FOOT AND ANKLE ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JOSEPH IANNUCCI (OWNER)
(610) 444-6520
Entity
Organization
Contact information
Practice address
774 CHRISTIANA RD, SUITE 105, NEWARK, DE 19713-4236
(302) 623-4250
(302) 623-4252
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(302) 623-4250
(302) 623-4252
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000962450
—
DE
01
—
000750359
HIGHMARK BC
—
01
—
0335570006
DME
DE
01
—
0550482000
AMERIHEALTH/KEYSTONE
DE
01
—
144950500
US DEPARTMENT OF LABOR
—
01
—
32441
COVENTRY
DE
01
—
510385821
BCBS
DE
01
—
510385821
CIGNA
—
01
—
5851771
AETNA
—
Enumeration date
08/21/2006
Last updated
02/26/2025
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