Organization
SENTRA PODIATRY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH A STEIN D.P.M. (PODIATRIST)
(215) 242-8280
Entity
Organization
Contact information
Practice address
7100 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1837
(215) 242-8280
(215) 242-8285
Mailing address
7100 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1837
(215) 242-8280
(215) 242-8285
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002207-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007103550005
—
PA
Enumeration date
01/15/2007
Last updated
04/08/2008
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