NPI | 1124494828 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID FREEDMAN Vice President 301-598-0130 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2015-08-17 |
Last Update Date | 2025-02-20 |