| NPI | 1386837581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE WOODBURN Podiatrist/Owner 410-828-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01343) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2009-10-23 |