Organization
FOOT AND ANKLE SPECIALISTS OF GREATER BALTIMORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEIBOLDT (PRESIDENT)
(240) 731-9219
Entity
Organization
Contact information
Practice address
7809 WISE AVE, DUNDALK, MD 21222-3339
(410) 288-0666
(410) 288-0667
Mailing address
7729 ELMWOOD RD, FULTON, MD 20759-2504
(240) 731-9219
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01308
MD
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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