Organization
SANDTOWN FOOT & ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG R LANE (PODIATRIC)
(410) 523-5898
Entity
Organization
Contact information
Practice address
911 N CAREY ST, BALTIMORE, MD 21217-2550
(410) 523-5898
(410) 523-5815
Mailing address
911 N CAREY ST, BALTIMORE, MD 21217-2550
(410) 523-5898
(410) 523-5815
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403809600
—
MD
Enumeration date
07/16/2008
Last updated
06/07/2011
Update your record
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