Organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Active
Parent organization
INTEGRATED FOOT AND ANKLE SPECIALISTS OF PA LLC
Other names
South Philly Foot & Ankle
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
2301 S 13TH ST, PHILADELPHIA, PA 19148-3568
(215) 755-9339
Mailing address
123 CHESTNUT ST STE 208, PHILADELPHIA, PA 19106-3059
(215) 923-2455
(215) 923-4535
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/02/2024
Last updated
08/12/2024
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