Provider Demographics
NPI:1316677891
Name:PACE FOOT AND ANKLE CENTERS PLLC
Entity type:Organization
Organization Name:PACE FOOT AND ANKLE CENTERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-642-5040
Mailing Address - Street 1:2800 W TOWNSHIP LINE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5215
Mailing Address - Country:US
Mailing Address - Phone:610-449-7162
Mailing Address - Fax:610-789-6753
Practice Address - Street 1:2800 W TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5215
Practice Address - Country:US
Practice Address - Phone:610-449-7162
Practice Address - Fax:610-789-6753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies