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Foot And Ankle Specialists Of The Mid-Atlantic, LLC

Podiatrist in Fredericksburg, VA. Organization (NPI-2).

NPI number1104865005
StatusActive
Last updated in NPPESJan 31, 2024

Details

NPI
1104865005
Entity type
Organization (NPI-2)
Legal business name
Foot And Ankle Specialists Of The Mid-Atlantic, LLC
Organization subpart
No
Enumeration date
Jun 6, 2006
Certification date
Jan 31, 2024
Last updated
Jan 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist0103300938VAYes
261QP1100X Clinic/Center, Podiatric––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Fredericksburg Foot & Ankle Center (Doing Business As)

Practice location

1500 Dixon St Ste 201
Fredericksburg, VA 22401-7231

Phone 540-374-5261 · Fax 540-374-5262

Mailing address

Po Box 825159
Philadelphia, PA 19182-5159

Phone 301-933-7133

Authorized official

Michael Tritto
Owner
3019337133

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Other Podiatrist providers in Fredericksburg, VA

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