MEDICARE: SOUTHWEST FOOT AND ANKLE CENTER INC

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC001339L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558376483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST FOOT AND ANKLE CENTER INC

Provider Business Mailing Address
First Line	:	2801 ISLAND AVE
Second Line	:	SUITE 6
City	:	PHILA
State	:	PA
Zip	:	19153-2326
Country	:	US
Telephone Number	:	215-365-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 ISLAND AVE
Second Line	:	SUITE 6
City	:	PHILA
State	:	PA
Zip	:	19153-2326
Country	:	US
Telephone Number	:	215-365-1800
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST/ PRESIDENT
Name	:	DR. WILLIAM ANDREW CROCE
Credential	:	D.P.M.
Telephone Number	:	215-365-1800

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	02/26/2008

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Directions to “SOUTHWEST FOOT AND ANKLE CENTER INC ” Practice Location

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