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Organization

MARYLAND FOOT & ANKLE RESTORATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNY JAMAL MOTRAN D.P.M. (PODIATRIST/LEADING MEMBER)
(301) 699-5900
Entity
Organization

Contact information

Practice address
6505 BELCREST RD, SUITE 1, HYATTSVILLE, MD 20782-2011
(301) 699-5900
(301) 699-9297
Mailing address
PO BOX 83849, GAITHERSBURG, MD 20883-3849
(301) 699-5900
(301) 699-9297

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01450
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
415792300
MD
Enumeration date
11/20/2013
Last updated
04/02/2025
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