Organization
NOVA FOOT & ANKLE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOSTADINKA HADZIJSKA SKANDEVA DPM (OWNER)
(571) 480-8480
Entity
Organization
Contact information
Practice address
6151 FULLER CT, ALEXANDRIA, VA 22310-2541
(571) 480-8480
(703) 888-3909
Mailing address
6151 FULLER CT, ALEXANDRIA, VA 22310-2541
(571) 480-8480
(703) 888-3909
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103301045
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326279084
—
VA
01
—
6683570001
MEDICARE DME PTAN
VA
Enumeration date
02/27/2012
Last updated
02/20/2013
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