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NPI Code Detail

MEDICARE: MARTHA J AJLOUNY DPM

MEDICARE:   MARTHA J AJLOUNY  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist425NC
2213ES0131XFoot Surgery Podiatrist425NC
3213EP1101XPrimary Podiatric Medicine Podiatrist425NC

General Provider Information

NPI Number : 1326048661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA J AJLOUNY DPM
Provider Business Mailing Address
First Line : 1036 BRANCHVIEW DR STE 100
Second Line :
City : CONCORD
State : NC
Zip : 28025-0112
Country : US
Telephone Number : 704-886-1918
Fax Number : 704-886-1918
Provider Business Practice Location Address
First Line : 530 N ELAM AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1153
Country : US
Telephone Number : 336-299-0271
Fax Number : 336-299-8117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 02/17/2021

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