# MARYLAND FOOT AND ANKLE ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407045545
- **Authorized official:** DR. GENE S. MIRKIN DPM (DPM)
- **Authorized official phone:** (301) 949-2000

## Contact information

- **Practice address:** 10901 CONNECTICUT AVE, \#200, KENSINGTON, MD 20895-1645
- **Practice address phone:** (301) 949-2000
- **Practice address fax:** (301) 949-2002
- **Mailing address:** 10901 CONNECTICUT AVE, \#200, KENSINGTON, MD 20895-1645
- **Mailing address phone:** (301) 949-2000
- **Mailing address fax:** (301) 949-2002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 10/15/2007