Organization
FAMILY FOOTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD FORMAN DPM (PRESIDENT)
(410) 282-6666
Entity
Organization
Contact information
Practice address
1123 MERRITT BLVD, DUNDALK, MD 21222-1438
(410) 282-6666
(410) 282-0357
Mailing address
1123 MERRITT BLVD, DUNDALK, MD 21222-1438
(410) 282-6666
(410) 282-0357
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
M00338
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311830
BC/BS
MD
01
—
R483
BC/BS FEDERAL
—
Enumeration date
10/24/2006
Last updated
01/08/2008
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