Individual
ALAN ROBERT DEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7223 HANOVER PKWY STE B, GREENBELT, MD 20770-2023
(301) 441-2655
(301) 441-2656
Mailing address
7223 HANOVER PKWY STE B, GREENBELT, MD 20770-2023
(301) 441-2655
(301) 441-2656
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103300926
VA
213E00000X
Podiatrist
Primary
01434
MD
213E00000X
Podiatrist
5901002037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412480400
—
MD
Enumeration date
04/20/2006
Last updated
04/30/2019
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