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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

NPI # 1518135441
LBN Legal business name CCRAB ASSOCIATES, LLC
Authorized official BRUCE WENZEL - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2008
Last updated 09/22/2008 - About 18 years ago
Identifiers
MD License # 00399
MD Medicaid 403912200
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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