Organization
NORTHEAST FOOT AND ANKLE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT MOSHEYEV DPM (PRESIDENT)
(215) 464-2000
Entity
Organization
Contact information
Practice address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-2000
(215) 464-6046
Mailing address
9922 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 464-2000
(215) 464-6046
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC-009751
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-009751
PA
Other
Enumeration date
12/21/2010
Last updated
02/17/2012
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