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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

NPI # 1134580004
LBN Legal business name FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC
Authorized official MICHAEL TRITTO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2016
Last updated 02/25/2025 - More than a year ago
Identifiers
MD Medicaid 3378055-03
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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