Individual
MITCHELL D SHIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5000 BENSALEM BLVD, BENSALEM, PA 19020-4043
(215) 638-4446
(215) 638-4447
Mailing address
5000 BENSALEM BLVD, BENSALEM, PA 19020-4043
(215) 638-4446
(215) 638-4447
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC002651L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC002651L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023162000
IBC
PA
05
—
0990080
—
PA
01
—
1616230
BS
PA
Enumeration date
06/23/2006
Last updated
04/15/2009
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