Organization
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Active
Other names
Suitland (Lakeforest)
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TRITTO MD (AUTHORIZED OFFICIAL)
(301) 933-7133
Entity
Organization
Contact information
Practice address
5001 SILVER HILL RD STE A, SUITLAND, MD 20746-5215
(301) 736-6900
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(301) 933-7133
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6612640083
NSC MEDICARE
MD
Enumeration date
02/15/2022
Last updated
02/25/2025
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