Provider First Line Business Practice Location Address:
8 & RACE ST
Provider Second Line Business Practice Location Address:
FEET & ANKLE INSTITUTE
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-238-6600
Provider Business Practice Location Address Fax Number:
215-629-4905
Provider Enumeration Date:
09/21/2005