Individual
GENE S MIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10901 CONNECTICUT AVE, SUITE 200, KENSINGTON, MD 20895-1645
(301) 949-2000
(301) 949-2002
Mailing address
1600 E GUDE DR, SUITE 200, ROCKVILLE, MD 20850-1341
(301) 933-7133
(301) 933-7137
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1071
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061368100
—
MD
05
—
442183301
—
MD
Enumeration date
01/24/2006
Last updated
11/28/2018
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