| NPI | 1881825495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK LYDON Podiatrist/Medical Director 301-530-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1170) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |