| |
2500 N Rolling Rd, Suite 100, Windsor Mill, MD 21244-1990 | |
(410) 298-7045 | |
(410) 298-1233 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2500 N Rolling Rd, Windsor Mill, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033202569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | 01243 (Maryland) | Primary |
Mailing Address | Practice Location Address |
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P.o. Box 47354, Baltimore, MD 21244-0354 Ph: (410) 298-7045 | 2500 N Rolling Rd, Suite 100, Windsor Mill, MD 21244-1990 Ph: (410) 298-7045 |