Organization
PHYSICIAN'S FOOTWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. LEVINE D.P.M., C.PED. (OWNER)
(301) 696-0600
Entity
Organization
Contact information
Practice address
63 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4384
(301) 696-0600
(303) 696-8872
Mailing address
63 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4384
(301) 696-0600
(301) 696-8872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10835289
MD
Other
Enumeration date
12/05/2006
Last updated
08/22/2020
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