| NPI | 1679756761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J SILVERSTEIN Owner 410-939-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2021-12-14 |