Organization
SERENITY FOOT AND ANKLE CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA TERESA IBANEZ D.P.M. (OWNER)
(215) 622-8523
Entity
Organization
Contact information
Practice address
624 E GIRARD AVE, PHILADELPHIA, PA 19125-3437
(215) 425-0211
Mailing address
624 E GIRARD AVE, PHILADELPHIA, PA 19125-3437
(215) 425-0211
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006004
PA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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