MEDICARE: ALEXANDER FOOT CARE

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	SC006270	PA

General Provider Information

NPI Number	:	1689087991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER FOOT CARE

Provider Business Mailing Address
First Line	:	805 E WILLOW GROVE AVE STE 1B
Second Line	:
City	:	GLENSIDE
State	:	PA
Zip	:	19038-7968
Country	:	US
Telephone Number	:	215-844-0308
Fax Number	:	215-844-0370

Provider Business Practice Location Address
First Line	:	805 E WILLOW GROVE AVE STE 1B
Second Line	:
City	:	GLENSIDE
State	:	PA
Zip	:	19038-7968
Country	:	US
Telephone Number	:	215-844-0308
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST/OWNER
Name	:	NEKEISHA ALEXANDER
Credential	:	DPM
Telephone Number	:	215-844-0308

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	01/02/2024

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Directions to “ALEXANDER FOOT CARE ” Practice Location

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