# CAPITAL FOOT & ANKLE CARE CENTRE PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAPITAL FOOT & ANKLE CARE CENTRE PA
- **Other names:** Prince Frederick Foot & Ankle Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083955405
- **Legal business name:** CAPITAL FOOT & ANKLE CARE CENTRE PA
- **Authorized official:** DR. ROBERT L VANFOSSON D.P.M (VICE PRESIDENT)
- **Authorized official phone:** (301) 862-3338

## Contact information

- **Practice address:** 995 PRINCE FREDERICK BLVD, STE. 104, PRINCE FREDERICK, MD 20678-3198
- **Practice address phone:** (410) 414-5033
- **Practice address fax:** (301) 862-3335
- **Mailing address:** PO BOX 1310, CALIFORNIA, MD 20619-1310
- **Mailing address phone:** (301) 862-3338
- **Mailing address fax:** (301) 862-3335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | MD | Yes |

## Other

- **Enumeration date:** 03/11/2013
- **Last updated:** 03/11/2013