Healthcare Provider Details

I. General information

NPI: 1831439009
Provider Name (Legal Business Name): NEXT STEP FOOT & ANKLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1246 WEST MAIN STREET
NORRISTOWN PA
19401-4365
US

IV. Provider business mailing address

PO BOX 28
MORRISVILLE PA
19067-0028
US

V. Phone/Fax

Practice location:
  • Phone: 610-272-6554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC006012
License Number StatePA

VIII. Authorized Official

Name: ALBERT GIAGNACOVA
Title or Position: OWNER/PROVIDER
Credential: DPM
Phone: 610-272-6554