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Organization
FOOT AND ANKLE SPECIALISTS OF GREATER BALTIMORE INC
Active
Organization
FOOT AND ANKLE SPECIALISTS OF GREATER BALTIMORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEIBOLDT (PRESIDENT)
(240) 731-9219
Entity
Organization
Contact information
Practice address
7809 WISE AVE, DUNDALK, MD 21222-3339
(410) 288-0666
(410) 288-0667
Mailing address
7729 ELMWOOD RD, FULTON, MD 20759-2504
(240) 731-9219
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01308
MD
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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