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Organization
FOOT AND ANKLE CENTER AT THE BURKLAND MEDICAL CENTER INC.
Active
Organization
FOOT AND ANKLE CENTER AT THE BURKLAND MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SELBY BLANKEN D.P.M. (OWNER)
(301) 592-0505
Entity
Organization
Contact information
Practice address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Mailing address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1309
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20726
CHARTERED HEALTH
DC
01
—
293916
MAMSI
—
01
—
3441921
AETNA
—
05
—
408775500
—
MD
01
—
NB5
BSDC
—
Enumeration date
03/16/2006
Last updated
05/26/2011
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