Organization
CHESAPEAKE FOOT AND ANKLE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA J GOTTLIEB DPM (PODIATRIST/OWNER)
(410) 761-0118
Entity
Organization
Contact information
Practice address
8030B RITCHIE HWY, PASADENA, MD 21122-1084
(410) 761-0118
(410) 761-5118
Mailing address
8030B RITCHIE HWY, PASADENA, MD 21122-1084
(410) 761-0118
(410) 761-5118
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437198400
—
MD
Enumeration date
07/27/2006
Last updated
05/03/2021
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