Organization
CALVERT AMBULATORY FOOT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L IDOL DPM (DIRECTOR)
(301) 934-3345
Entity
Organization
Contact information
Practice address
1430 OLD SOLOMONS ISLAND ROAD, PRINCE FREDERICK, MD 20678
(410) 535-1719
(410) 326-8088
Mailing address
PO BOX 1320, LA PLATA, MD 20646-1320
(301) 934-3345
(301) 934-3345
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
A1325R
MD
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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