CAPITAL FOOT & ANKLE CARE CENTRE, PA; NPI #1225466485

Contact Information

CAPITAL FOOT & ANKLE CARE CENTRE, PA

22680 CEDAR LANE CT OFC 2
LEONARDTOWN, MD 20650-3910

Phone: 301-862-3338
Fax: 301-862-3335
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for CAPITAL FOOT & ANKLE CARE CENTRE, PA

NPI # 1225466485

LBN Legal business name CAPITAL FOOT & ANKLE CARE CENTRE, PA

Authorized official ROBERT VANFOSSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/28/2013

Last updated 10/28/2013 - About 13 years ago

Identifiers

MD	License #	00975
MD	License #	01346
MD	License #	01511
MD	Medicaid	231308100
MD	Other	77230001	BLUE CROSS BLUE SHIELD

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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CAPITAL FOOT & ANKLE CARE CENTRE, PA

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

NPI Profile & details for CAPITAL FOOT & ANKLE CARE CENTRE, PA

Reviews for CAPITAL FOOT & ANKLE CARE CENTRE, PA