Provider Demographics
NPI:1518378660
Name:FOOT AND ANKLE ASSOCIATES LLP
Entity Type:Organization
Organization Name:FOOT AND ANKLE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:IANNUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-444-2114
Mailing Address - Street 1:685 UNIONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1764
Mailing Address - Country:US
Mailing Address - Phone:610-444-2114
Mailing Address - Fax:610-444-9571
Practice Address - Street 1:3801 KENNETT PIKE
Practice Address - Street 2:STE A102
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807-2307
Practice Address - Country:US
Practice Address - Phone:302-652-5767
Practice Address - Fax:302-652-4373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
213E00000X
DE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0335570004Medicare NSC