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Organization

MARYLAND FOOT & ANKLE RESTORATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNY J MOTRAN (PODIATRIC SURGEON/MEDICAL DIRECTOR)
(301) 699-5900
Entity
Organization

Contact information

Practice address
6505 BELCREST RD STE 1, HYATTSVILLE, MD 20782-2011
(301) 699-5900
(301) 699-9297
Mailing address
PO BOX 83849, GAITHERSBURG, MD 20883-3849

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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