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Contact Information

CCRAB ASSOCIATES, LLC
3261 OLD WASHINGTON RD
SUITE 1010
WALDORF, MD20602-3223
 Phone: 301-645-0366
 Fax: 301-843-4773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CCRAB ASSOCIATES LLC · (Female)

NPI # 1518135441
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2008
Last updated 09/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 00399
  • MD Medicaid 403912200
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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