Organization
GREENE TREE FOOT ANKLE SURGICENTER
Active
Parent organization
GREENE TREE FOOT ANKLE SURGICENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE TREE FOOT ANKLE SURGICENTER
Authorized official
NICOLE D BURNEY (OFFICE MANAGER)
(410) 602-8637
Entity
Organization
Contact information
Practice address
1838 GREENE TREE RD, SUITE 430, BALTIMORE, MD 21208-6391
(410) 602-8637
(410) 602-9781
Mailing address
1838 GREENE TREE RD, SUITE 430, BALTIMORE, MD 21208-6391
(410) 602-8637
(410) 602-9781
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
A1419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409817000
—
MD
Enumeration date
03/27/2007
Last updated
11/23/2009
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