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NPI Code Detail

MEDICARE: ANDREW MERMELSTEIN DPM

MEDICARE:   ANDREW  MERMELSTEIN  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP0504XPublic Medicine PodiatristSC006928PA
2213ES0103XFoot & Ankle Surgery PodiatristSC006928PA
3213EP1101XPrimary Podiatric Medicine PodiatristSC006928PA
4213ER0200XRadiology PodiatristSC006928PA
5213ES0000XSports Medicine PodiatristSC006928PA
6261QP1100XPodiatric Clinic/CenterSC006928PA
7213E00000XPodiatristSC006928PA

General Provider Information

NPI Number : 1851877179
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MERMELSTEIN DPM
Provider Business Mailing Address
First Line : 1337 COTTMAN AVE STE A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3728
Country : US
Telephone Number : 152-745-6566
Fax Number : 215-893-1722
Provider Business Practice Location Address
First Line : 1337 COTTMAN AVE STE A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3728
Country : US
Telephone Number : 215-745-6566
Fax Number : 215-893-1722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 08/10/2022

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Directions to “ ANDREW MERMELSTEIN DPM” Practice Location

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