IndividualActive
Andrew Peacock, DPM
NPI 1851730063 · Foot & Ankle Surgery Podiatrist · Philadelphia, PA
Provider details
- NPI number
- 1851730063
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
3110 Grant Ave
Philadelphia, PA 19114-2542
Phone: (215) 464-6600
Approximate (ZIP-level) locationGet directions
Mailing address
3110 Grant Ave
Philadelphia, PA 19114-2542
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2017-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.