# FAMILY FOOT CLINIC OF GREATER BALTIMORE

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

## Provider details

- **NPI number:** 1902270820
- **Authorized official:** DR. MICHAEL ROBERT SMITH JR. DPM (PRESIDENT & CEO)
- **Authorized official phone:** (410) 878-1340

## Contact information

- **Practice address:** 1 VILLAGE SQ, SUITE 165, BALTIMORE, MD 21210-1602
- **Practice address phone:** (410) 878-1340
- **Mailing address:** 1 VILLAGE SQ, SUITE 165, BALTIMORE, MD 21210-1602
- **Mailing address phone:** (410) 878-1340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01466 | MD | Yes |

## Other

- **Enumeration date:** 11/16/2015
- **Last updated:** 11/16/2015