Organization
FOOT & ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE DIANE GAYNOR DPM (OWNER)
(301) 251-6226
Entity
Organization
Contact information
Practice address
932 HUNGERFORD DR, SUITE 1A, ROCKVILLE, MD 20850-1713
(301) 251-6226
(301) 315-8273
Mailing address
932 HUNGERFORD DR, SUITE 1A, ROCKVILLE, MD 20850-1713
(301) 251-6226
(301) 315-8273
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01422
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174515589
NPI
MD
Enumeration date
10/03/2007
Last updated
10/03/2007
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