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NPI Code Detail

MEDICARE: DR. ANTHONY GIOVANNI MINA DPM

MEDICARE: DR. ANTHONY GIOVANNI MINA 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
1213ES0103XFoot & Ankle Surgery PodiatristSC007265PA

General Provider Information

NPI Number : 1124751474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY GIOVANNI MINA DPM
Provider Business Mailing Address
First Line : 8835 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-2765
Country : US
Telephone Number : 215-248-8200
Fax Number :
Provider Business Practice Location Address
First Line : 8835 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-2765
Country : US
Telephone Number : 215-248-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 07/05/2022

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