# MARYLAND FOOT & ANKLE RESTORATION, LLC

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

## Provider details

- **NPI number:** 1528736774
- **Authorized official:** DR. JOHNY J MOTRAN (PODIATRIC SURGEON/MEDICAL DIRECTOR)
- **Authorized official phone:** (301) 699-5900

## Contact information

- **Practice address:** 6505 BELCREST RD STE 1, HYATTSVILLE, MD 20782-2011
- **Practice address phone:** (301) 699-5900
- **Practice address fax:** (301) 699-9297
- **Mailing address:** PO BOX 83849, GAITHERSBURG, MD 20883-3849

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 09/02/2021