Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1346057841 |
| LBN Legal business name | 1FOOT 2FOOT CENTRE FOR FOOT AND ANKLE CARE, PC |
| Authorized official | MATTHEW DAIRMAN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/17/2024 |
| Last updated | 12/17/2024 - More than a year ago |
| Identifiers | n/a |
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