| NPI | 1346767191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN R POLUN Owner 301-529-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: DC PO428) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |