Organization · NPI-2

Eastern Shore Foot And Ankle

Clinic/Center · Easton, MD

NPI number1013198233
StatusActive
Last updated in NPPESMar 11, 2008

Details

NPI
1013198233
Entity type
Organization (NPI-2)
Legal business name
Eastern Shore Foot And Ankle
Organization subpart
No
Enumeration date
Nov 15, 2007
Last updated
Mar 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

8579 Commerce Dr
Suite 100
Easton, MD 21601-7491

Phone 410-822-0645 · Fax 410-763-8744

Mailing address

8579 Commerce Dr
Suite 100
Easton, MD 21601-7491

Phone 410-822-0645 · Fax 410-763-8744

Authorized official

Larry Todd Albrecht
Owner
4108220645

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