Organization
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Active
Other names
Podiatric Care of Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TRITTO (DPM/OWNER)
(301) 933-7133
Entity
Organization
Contact information
Practice address
224D CORNWALL ST NW #102, LEESBURG, VA 20176
(703) 777-5830
(703) 777-5155
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(301) 933-7133
(301) 933-7137
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629355771
—
VA
01
—
DS5770
MEDICARE RAILROAD
VA
Enumeration date
11/03/2011
Last updated
02/25/2025
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