Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Active
Parent organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Authorized official
TERESA LEONARDA CIACCIO (CHIEF OPERATING OFFICER)
(516) 993-8666
Entity
Organization
Contact information
Practice address
5735 RIDGE AVE STE 208, PHILADELPHIA, PA 19128-1747
(215) 593-2878
Mailing address
100 FRONT ST STE 970, CONSHOHOCKEN, PA 19428-2800
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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