Organization
ADVANCED FOOT CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J GROSS-EDWARDS DPM (PRESIDENT)
(484) 895-3777
Entity
Organization
Contact information
Practice address
940 N NEW ST, BETHLEHEM, PA 18018-2756
(484) 895-3777
(484) 895-3768
Mailing address
940 N NEW ST, BETHLEHEM, PA 18018-2756
(484) 895-3777
(484) 895-3768
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SCOO4802L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101907198-0001
—
PA
Enumeration date
02/11/2007
Last updated
05/03/2012
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