Provider Demographics
NPI:1164474680
Name:DAHDAH, JOHN P (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:DAHDAH
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:933 N CHARLOTTE ST
Mailing Address - Street 2:SUITE 2C FOOT AND ANKLE HEALTH GROUP, PC
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3974
Mailing Address - Country:US
Mailing Address - Phone:610-326-4367
Mailing Address - Fax:610-718-0178
Practice Address - Street 1:933 N. CHARLOTTE STREET
Practice Address - Street 2:SUITE 2C FOOT AND ANKLE HEALTH GROUP PC
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:610-326-4367
Practice Address - Fax:610-718-0178
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC002295L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T29344Medicare UPIN
PA0000127090Medicare ID - Type Unspecified