| NPI | 1639349780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. LYDON Podiatrist 301-530-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 00580) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-04-01 |