| Pennsylvania Spine To Foot Pain Specialists Gp | |
|
500 Fairmount Ave Fl 1, Philadelphia, PA 19123-2890 | |
| (267) 909-9594 | |
| (267) 367-5559 |
| Full Name | Pennsylvania Spine To Foot Pain Specialists Gp |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 500 Fairmount Ave Fl 1, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972166940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Alyssa M Piccillo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235513763 PECOS PAC ID: 4789920224 Enrollment ID: I20190104000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Spine To Foot Pain Specialists Gp Po Box 40068, Philadelphia, PA 19106-0068 Ph: (267) 909-9594 | Pennsylvania Spine To Foot Pain Specialists Gp 500 Fairmount Ave Fl 1, Philadelphia, PA 19123-2890 Ph: (267) 909-9594 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |