Foot And Ankle Specialists Of The Mid-Atlantic LLC
Podiatrist in Matthews, NC. Organization (NPI-2).
NPI number1255913182
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1255913182
- Entity type
- Organization (NPI-2)
- Legal business name
- Foot And Ankle Specialists Of The Mid-Atlantic LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2021
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
534 W John St Ste 100Matthews, NC 28105-5484
Phone 704-847-9788 · Fax 704-849-2928
Mailing address
Po Box 825159Philadelphia, PA 19182-5159
Authorized official
Michael Tritto
Owner
3019337133
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