Organization · Type 2 NPI

Largo Foot & Ankle Health Center and Ambulatory Surgical Center,inc'

Foot & Ankle Surgery Podiatrist · Upper Marlboro, MD

NPI number 1962596031 Active

Practice location

1450 Mercantile Ln Ste 151
Upper Marlboro, MD 20774-5386

Fax (301) 386-5396

Mailing address

PO Box 265
Fulton, MD 20759-0265

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X01264 (MD)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1962596031

Largo Foot & Ankle Health Center and Ambulatory Surgical Center,inc''s National Provider Identifier is 1962596031, issued on Oct 3, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Upper Marlboro, MD. The record was last updated on Sep 4, 2024.