Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1861477515 |
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| LBN Legal business name | ABINGDON FOOT & ANKLE CLINIC PC | ||||||||
| Authorized official | BRIAN MAZZEI - (VICE-PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/14/2005 | ||||||||
| Last updated | 09/27/2011 - About 15 years ago | ||||||||
| Identifiers |
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