Organization
BLANKEN PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN SELBY BLANKEN D.P.M. (PRESIDENT)
(301) 592-0505
Entity
Organization
Contact information
Practice address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Mailing address
10313 GEORGIA AVE, SUITE 201, SILVER SPRING, MD 20902-5006
(301) 592-0505
(301) 592-0503
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01135
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025912100
—
DC
05
—
450798300
—
MD
01
—
88280001
BCBS
MD
01
—
KDK7BL
CAREFIRST
MD
Enumeration date
01/25/2007
Last updated
05/02/2011
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