Organization · Type 2 NPI
Eastern Shore Family Foot Care, LLC
Foot & Ankle Surgery Podiatrist · Denton, MD
NPI number
1891170619
Active
Practice location
510 S 5th Ave
Denton, MD 21629-1368
Fax (410) 479-4622
Mailing address
6412 Church Hill Rd
Chestertown, MD 21620-2386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Podiatric Clinic/Center | 261QP1100X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1891170619
Eastern Shore Family Foot Care, LLC's National Provider Identifier is 1891170619, issued on Jul 22, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Denton, MD. The record was last updated on Dec 27, 2024.