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Organization
POLUN FAMILY FOOTCARE P C
Active
Organization
POLUN FAMILY FOOTCARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SILVERMAN (ACCOUNTANT)
(410) 654-8602
Entity
Organization
Contact information
Practice address
19 BEECHAM CT, OWINGS MILLS, MD 21117-6001
(410) 654-8602
Mailing address
19 BEECHAM CT, OWINGS MILLS, MD 21117-6001
(410) 654-8602
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4426119
—
DC
05
—
524101402
—
MD
Enumeration date
09/28/2006
Last updated
02/11/2019
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