MEDICARE: FAMILY FOOT & ANKLE ASSOCIATES OF MARYLAND, PA

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	213ES0103X	Foot & Ankle Surgery Podiatrist		MD

General Provider Information

NPI Number	:	1245402767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOT & ANKLE ASSOCIATES OF MARYLAND, PA

Provider Business Mailing Address
First Line	:	3408 OLANDWOOD COURT
Second Line	:	SUITE 226
City	:	OLNEY
State	:	MD
Zip	:	20832-1513
Country	:	US
Telephone Number	:	301-924-5044
Fax Number	:	301-924-5933

Provider Business Practice Location Address
First Line	:	10801 LOCKWOOD DR STE 260
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1559
Country	:	US
Telephone Number	:	301-439-0300
Fax Number	:	301-681-1488

Authorized Official
Title or Position	:	MANAGER
Name	:	SHARON COHEN
Credential	:
Telephone Number	:	301-924-5044

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	07/21/2022

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