Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alicia Anne Canzanese, DPM, ATC

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1710321823

Dr. Alicia Anne Canzanese, DPM, ATC is a Podiatry in Glenside, Pennsylvania. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2013
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2285 Cross Rd
Glenside, PA 19038-5023
Phone: (215) 887-5910
Fax: (215) 887-0387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC006606 (PA)

Record details

NPI number1710321823
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM , ATC
Sole proprietorNo
NPI enumeratedApril 18, 2013
Last updated in NPPESAugust 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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