Provider Demographics
NPI:1831140060
Name:FOOT & ANKLE HEALTH GROUP PC
Entity Type:Organization
Organization Name:FOOT & ANKLE HEALTH GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAHDAH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-326-4367
Mailing Address - Street 1:933 N CHARLOTTE ST STE 2C
Mailing Address - Street 2:FOOT ANKLE HEALTH GROUP PC
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464
Mailing Address - Country:US
Mailing Address - Phone:610-326-4367
Mailing Address - Fax:610-718-0178
Practice Address - Street 1:933 N CHARLOTTE ST STE 2C
Practice Address - Street 2:FOOT 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA423488Medicare ID - Type Unspecified
0751120001Medicare NSC