| NPI | 1023017654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY M. BECK Podiatrist 301-681-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 00532) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MD 00532) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 00532) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-02-04 |