| |
606 Hammonds Ln, Brooklyn, MD 21225-3301 | |
(443) 213-5900 | |
(410) 871-8721 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 606 Hammonds Ln, Brooklyn, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750751988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
Provider Name | Chantel Nicole Sanford |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1063736569 PECOS PAC ID: 6406043157 Enrollment ID: I20150226000217 |
Mailing Address | Practice Location Address |
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804 Longmaid Dr, Reisterstown, MD 21136-6241 Ph: (302) 765-8566 | 606 Hammonds Ln, Brooklyn, MD 21225-3301 Ph: (443) 213-5900 |