# CAPITAL FOOT & ANKLE CARE CENTRE, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAPITAL FOOT & ANKLE CARE CENTRE, PA
- **Other names:** Charlotte Hall Foot & Ankle
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205264363
- **Legal business name:** CAPITAL FOOT & ANKLE CARE CENTRE, PA
- **Authorized official:** DR. ROBERT LOUIS VANFOSSON DPM (PRESIDENT)
- **Authorized official phone:** (301) 862-3338

## Contact information

- **Practice address:** 37767 MARKET DR UNIT 100, CHARLOTTE HALL, MD 20622-3175
- **Practice address phone:** (301) 862-3338
- **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 |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 00975 | MD | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01346 | MD | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01511 | MD | Yes |

## Other

- **Enumeration date:** 10/28/2013
- **Last updated:** 06/25/2014