Organization
COASTAL FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M MENENDEZ D.P.M. (D.P.M.)
(302) 644-8500
Entity
Organization
Contact information
Practice address
33759 CLAY RD UNIT 2, LEWES, DE 19958-6294
(302) 644-8500
(302) 644-7355
Mailing address
33759 CLAY RD UNIT 2, LEWES, DE 19958-6294
(302) 644-8500
(302) 644-7355
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E10000140
DE
Other
Enumeration date
02/01/2007
Last updated
10/07/2011
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