Maryland Foot And Ankle Specialists
Podiatrist, Foot & Ankle Surgery in Eldersburg, MD. Organization (NPI-2).
NPI number1861928186
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1861928186
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Foot And Ankle Specialists
- Organization subpart
- No
- Enumeration date
- May 5, 2017
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 01503 | MD |
Other names
- Stewarstown Podiatry (Doing Business As)
Practice location
1010 Liberty Rd Ste 100Eldersburg, MD 21784-7949
Phone 410-795-2155 · Fax 410-795-2154
Mailing address
1010 Liberty Rd Ste 100Eldersburg, MD 21784-7949
Phone 410-795-2155 · Fax 410-795-2154
Other practice locations
Authorized official
Justin Lewis
Owner
4107952155
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