| NPI | 1801408109 |
|---|---|
| Doing Business As | DME |
| Entity Type | Organization |
| Authorized Contact | MARY BETH TAMASY Credentialing Manager 703-737-6001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-06-08 |