Healthcare Provider Details

I. General information

NPI: 1033173877
Provider Name (Legal Business Name): COLUMBIA FOOT AND ANKLE ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 DAYLONG LN SUITE 102
CLARKSVILLE MD
21029-1626
US

IV. Provider business mailing address

6100 DAYLONG LN SUITE 102
CLARKSVILLE MD
21029-1626
US

V. Phone/Fax

Practice location:
  • Phone: 443-535-8770
  • Fax: 443-535-8775
Mailing address:
  • Phone: 443-535-8770
  • Fax: 443-535-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSS E TAUBMAN
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 443-535-8770