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Organization
CAPITAL FOOT & ANKLE CARE CENTRE, PA
Active
Organization
CAPITAL FOOT & ANKLE CARE CENTRE, PA
Active
Parent organization
CAPITAL FOOT & ANKLE CARE CENTRE, PA
Other names
Charlotte Hall Foot & Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL FOOT & ANKLE CARE CENTRE, PA
Authorized official
DR. ROBERT LOUIS VANFOSSON DPM (PRESIDENT)
(301) 862-3338
Entity
Organization
Contact information
Practice address
37767 MARKET DR UNIT 100, CHARLOTTE HALL, MD 20622-3175
(301) 862-3338
(301) 862-3335
Mailing address
PO BOX 1310, CALIFORNIA, MD 20619-1310
(301) 862-3338
(301) 862-3335
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00975
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
01346
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01511
MD
Other
Enumeration date
10/28/2013
Last updated
06/25/2014
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