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Organization

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Active
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Organization

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Active
Other names
Lakeforest Foot & Ankle, Lakeforest Foot & Ankle Center, Suitland (Lakeforest)
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TRITTO MD (AUTHORIZED OFFICIAL)
(301) 933-7133
Entity
Organization

Contact information

Practice address
5001 SILVER HILL RD STE A, SUITLAND, MD 20746-5215
(301) 736-6900
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(301) 933-7133

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6612640083
NSC MEDICARE
MD
Enumeration date
02/15/2022
Last updated
07/31/2026
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