# FOOT & ANKLE ASSOCIATES DRS LISS & MIRKIN PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kensington Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619922259
- **Authorized official:** GENE S MIRKIN DPM (MEDICAL DOCTOR)
- **Authorized official phone:** (301) 969-2000

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | A1081 | MD | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020