Organization
FOOT HEALTH CENTERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE COTTRILL (OFFICE MANAGER)
(856) 795-1003
Entity
Organization
Contact information
Practice address
6111 LANSDOWNE AVE, PHILADELPHIA, PA 19151-3933
(215) 473-7765
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005060570002
—
PA
01
—
0060618000
KEYSTONE HEALTH PLAN EAST
PA
01
—
20770
HEALTH PARTNERS
PA
01
—
31881
KEYSTONE MERCY
PA
Enumeration date
08/18/2006
Last updated
12/14/2007
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