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Organization
FAIRFAX FOOT AND ANKLE CENTER, P.C.
Active
Organization
FAIRFAX FOOT AND ANKLE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND J OLKIN D.P.M (PRESIDENT)
(703) 273-3622
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE 103, FAIRFAX, VA 22030-6914
(703) 273-3622
(703) 273-0313
Mailing address
10721 MAIN ST, SUITE 103, FAIRFAX, VA 22030-6914
(703) 273-3622
(703) 273-0313
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000250
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009303791
—
VA
01
—
0604177
CIGNA INSURANCE
—
01
—
207996
ANTHEM BC BS
VA
01
—
2153713
AETNA HMO PLANS
—
01
—
346199PPO
NCPPO
—
01
—
4313936
AETNA NON HMO PLANS
—
01
—
51277
OP-CHOICE, MDIPA
—
01
—
8665
CAREFIRST BCBS
—
Enumeration date
11/13/2006
Last updated
02/29/2008
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