MEDICARE: FOOT AND ANKLE SPECIALISTS OF BUCKS COUNTY, LLC

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		PA

General Provider Information

NPI Number	:	1710425582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOT AND ANKLE SPECIALISTS OF BUCKS COUNTY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 12
Second Line	:
City	:	FEASTERVILLE TREVOSE
State	:	PA
Zip	:	19053-0012
Country	:	US
Telephone Number	:	215-946-3338
Fax Number	:	215-946-1022

Provider Business Practice Location Address
First Line	:	360 NORTH OXFORD VALLEY RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-8302
Country	:	US
Telephone Number	:	215-946-3338
Fax Number	:	215-946-1022

Authorized Official
Title or Position	:	OWNER
Name	:	MITCHELL D KAHN
Credential	:	DPM
Telephone Number	:	215-245-1818

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	12/20/2018

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