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Contact Information

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
11110 MEDICAL CAMPUS RD
SUITE 100
HAGERSTOWN, MD21742-6700
 Phone: 301-739-1575
 Fax:
 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 Number 1487009155
LBN Legal business name FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Authorized official DAVID FREEDMAN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2016
Last updated 02/25/2025 - More than a year ago
Identifiers n/a
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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