MEDICARE: NATIONAL CAPITAL FOOT & ANKLE CENTER, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP1100X	Podiatric Clinic/Center
2	213E00000X	Podiatrist	PO428	DC

General Provider Information

NPI Number	:	1235156951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL CAPITAL FOOT & ANKLE CENTER, PC

Provider Business Mailing Address
First Line	:	12400 PARK POTOMAC AVE STE R2
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-7024
Country	:	US
Telephone Number	:	301-983-8202
Fax Number	:	877-810-5148

Provider Business Practice Location Address
First Line	:	12400 PARK POTOMAC AVE # R2
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-6973
Country	:	US
Telephone Number	:	301-983-8202
Fax Number	:	877-810-5148

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANKLIN R POLUN
Credential	:	DPM
Telephone Number	:	301-983-8201

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	04/21/2023

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