Organization
D & P, LLC
Active
Other names
MedSurg Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G DELEONIBUS D.P.M. (OWNER)
(410) 266-7666
Entity
Organization
Contact information
Practice address
2086 GENERALS HWY, SUITE 101, ANNAPOLIS, MD 21401-6700
(410) 266-7666
(410) 266-7703
Mailing address
2086 GENERALS HWY, SUITE 101, ANNAPOLIS, MD 21401-6700
(410) 266-7666
(410) 266-7703
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1146
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-C0001146
HCFA IDENTIFIER
MD
01
—
226042
PROVIDER ID MAMSI
MD
01
—
583179-01
PROVIDER ID BCBS
MD
01
—
MW1
PROVIDER ID BCBS
DC
Enumeration date
04/11/2007
Last updated
12/27/2011
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