Organization · NPI-2

Active Foot And Ankle Center, PC

Durable Medical Equipment & Medical Supplies · Chesapeake, VA

NPI number1427464726
StatusActive
Last updated in NPPESOct 17, 2023

Details

NPI
1427464726
Entity type
Organization (NPI-2)
Legal business name
Active Foot And Ankle Center, PC
Organization subpart
No
Enumeration date
Jul 8, 2014
Certification date
Oct 17, 2023
Last updated
Oct 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies0103301108VAYes

Practice location

369 Johnstown Rd
Chesapeake, VA 23322-5309

Phone 757-547-0123 · Fax 757-547-2412

Mailing address

369 Johnstown Rd
Chesapeake, VA 23322-5309

Phone 757-547-0123 · Fax 757-547-2412

Authorized official

Munjed Salem
President
7575470123

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