| NPI | 1912783697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRITTO Dpm/Owner 301-933-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |