| NPI | 1124498233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MULLENDORE Owner 301-515-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01423) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |