| NPI | 1740413269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SIDER Physician 410-661-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01274) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2024-10-29 |