Organization
GRACEMPRINCETORAIN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE M PRINCE-TORAIN D.P.M. (PODIATRIST)
(410) 674-3707
Entity
Organization
Contact information
Practice address
8379 PINEY ORCHARD PKWY, D, ODENTON, MD 21113-1508
(410) 674-3707
Mailing address
8379 PINEY ORCHARD PKWY, D, ODENTON, MD 21113-1508
(410) 674-3707
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
01416
MD
Other
Enumeration date
04/23/2007
Last updated
06/25/2008
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