Organization
FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE SCHOLNICK DPM (PODIATRIST)
(203) 494-6958
Entity
Organization
Contact information
Practice address
10875 MAIN ST STE 212, FAIRFAX, VA 22030-4732
(203) 494-6958
Mailing address
10875 MAIN ST STE 212, FAIRFAX, VA 22030-4732
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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