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Organization
BLANKEN FOOT AND ANKLE LLC
Active
Organization
BLANKEN FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANTHOM JETER (OFFICE MANAGER)
(301) 592-0505
Entity
Organization
Contact information
Practice address
10313 GEORGIA AVE STE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Mailing address
10313 GEORGIA AVE STE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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