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NPI Code Detail

MEDICARE: FREDERICK FOOT AND ANKLE SPECIALISTS

MEDICARE: FREDERICK FOOT AND ANKLE SPECIALISTS
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1548657208
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREDERICK FOOT AND ANKLE SPECIALISTS
Provider Business Mailing Address
First Line : 3430 WORTHINGTON BLVD STE 201
Second Line :
City : URBANA
State : MD
Zip : 21704-7019
Country : US
Telephone Number : 301-668-9707
Fax Number : 301-668-4927
Provider Business Practice Location Address
First Line : 3430 WORTHINGTON BLVD STE 201
Second Line :
City : URBANA
State : MD
Zip : 21704-7019
Country : US
Telephone Number : 301-668-9707
Fax Number : 301-668-4927
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : MISS YENISEY YANES
Credential : DPM
Telephone Number : 301-668-9707
Provider Enumeration Date : 04/21/2015
Last Update Date : 09/02/2021

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Directions to “FREDERICK FOOT AND ANKLE SPECIALISTS ” Practice Location

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