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Contact Information

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC
300 AURORA ST
CAMBRIDGE, MD21613-2410
 Phone: 410-228-2305
 Fax: 410-228-8521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC · (Female)

NPI Number 1134580004
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2016
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 3378055-03
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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