| NPI | 1043470339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLYNE CANGE Doctor 410-733-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01457) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2025-09-08 |