NPI | 1013663228 |
---|---|
Doing Business As | ROCKVILLE (LAKEFOREST) |
Entity Type | Organization |
Authorized Contact | MICHAEL TRITTO Authorized Official 301-933-7133 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2022-02-25 |
Last Update Date | 2022-02-25 |