# CHESAPEAKE FOOT AND ANKLE CENTER, P.A.

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

## Provider details

- **NPI number:** 1750305306
- **Authorized official:** IRA J GOTTLIEB DPM (PODIATRIST/OWNER)
- **Authorized official phone:** (410) 761-0118

## Contact information

- **Practice address:** 8030B RITCHIE HWY, PASADENA, MD 21122-1084
- **Practice address phone:** (410) 761-0118
- **Practice address fax:** (410) 761-5118
- **Mailing address:** 8030B RITCHIE HWY, PASADENA, MD 21122-1084
- **Mailing address phone:** (410) 761-0118
- **Mailing address fax:** (410) 761-5118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | MD | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 05/03/2021