Organization · Type 2 NPI
Family Podiatry P C
Podiatric Clinic/Center · Bladensburg, MD
NPI number
1023267903
Active
Practice location
5632 Annapolis Rd Ste 12
Bladensburg, MD 20710-2213
Fax (202) 726-0656
Mailing address
615 Quackenbos St NW
Washington, DC 20011-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | None listed |
| Podiatric Clinic/Center | 261QP1100X | 103000906 (VA) |
| Podiatric Clinic/Center Primary | 261QP1100X | 01129 (MD) |
| Podiatric Clinic/Center | 261QP1100X | PO517 (DC) |
Podiatric Clinic/Center: Definition to come...
Another provider at this address
About NPI 1023267903
Family Podiatry P C's National Provider Identifier is 1023267903, issued on Sep 16, 2008. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Bladensburg, MD. The record was last updated on Nov 16, 2021.