Provider Demographics
NPI:1912348277
Name:BRIDGEVILLE FOOT AND ANKLE CENTER, PC
Entity Type:Organization
Organization Name:BRIDGEVILLE FOOT AND ANKLE CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBERTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:412-221-2241
Mailing Address - Street 1:510 STATION ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2046
Mailing Address - Country:US
Mailing Address - Phone:412-221-2241
Mailing Address - Fax:412-221-2243
Practice Address - Street 1:510 STATION ST
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2046
Practice Address - Country:US
Practice Address - Phone:412-221-2241
Practice Address - Fax:412-221-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005506213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty