Organization
PENNSYLVANIA SPINE TO FOOT PAIN SPECIALISTS GP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA MARIE PICCILLO DPM (PARTNER)
(570) 417-4755
Entity
Organization
Contact information
Practice address
500 FAIRMOUNT AVE FL 1, PHILADELPHIA, PA 19123-2890
(267) 909-9594
(267) 367-5559
Mailing address
PO BOX 40068, PHILADELPHIA, PA 19106-0068
(267) 909-9594
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
06/02/2022
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