Healthcare Provider Details

I. General information

NPI: 1902841349
Provider Name (Legal Business Name): FOXHALL PODIATRY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW SUITE 228
WASHINGTON DC
20016-3622
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW SUITE 228
WASHINGTON DC
20016-3622
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-4811
  • Fax: 202-686-0932
Mailing address:
  • Phone: 202-966-4811
  • Fax: 202-686-0932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number510
License Number StateDC

VIII. Authorized Official

Name: DR. MICHALE JOEL MORSE
Title or Position: PRESIDENT
Credential: DPM
Phone: 202-966-4811