Organization
IN STEP PODIATRY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEEN MBANUZUE DPM (MEDICAL DIRECTOR)
(443) 300-8661
Entity
Organization
Contact information
Practice address
2905 MITCHELLVILLE RD STE 105, BOWIE, MD 20716-3953
(301) 430-0337
(240) 244-0617
Mailing address
PO BOX 683, BOWIE, MD 20718-0683
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
04/21/2023
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