| NPI | 1780871723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE DIANE GAYNOR Owner 301-251-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01422) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |