MEDICARE: AMBULATORY FOOT AND ANKLE CENTER, INC.

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	261QA1903X	Ambulatory Surgical Clinic/Center	A1260	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679566228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBULATORY FOOT AND ANKLE CENTER, INC.

Provider Business Mailing Address
First Line	:	3801 INTERNATIONAL DR
Second Line	:	SUITE 204
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1550
Country	:	US
Telephone Number	:	301-598-0130
Fax Number	:	301-598-5091

Provider Business Practice Location Address
First Line	:	3801 INTERNATIONAL DR
Second Line	:	SUITE 204
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1550
Country	:	US
Telephone Number	:	301-598-0130
Fax Number	:	301-598-5091

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/OWNER
Name	:	DR. DAVID J FREEDMAN
Credential	:	DPM
Telephone Number	:	301-598-0130

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/08/2022

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Directions to “AMBULATORY FOOT AND ANKLE CENTER, INC. ” Practice Location

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