Organization
PREMIER CARE PODIATRY PC
Active
Other names
Premier Care Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BAEZA (OWNER)
(215) 289-7007
Entity
Organization
Contact information
Practice address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Mailing address
4605 FRANKFORD AVE, PHILADELPHIA, PA 19124-5803
(215) 289-7007
(215) 289-3400
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
08/23/2021
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