Organization
MARYLAND FOOT AND ANKLE SPECIALISTS
Active
Other names
Stewarstown Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LEWIS DPM (OWNER)
(410) 795-2155
Entity
Organization
Contact information
Practice address
1010 LIBERTY RD STE 100, ELDERSBURG, MD 21784-7949
(410) 795-2155
(410) 795-2154
Mailing address
1010 LIBERTY RD STE 100, ELDERSBURG, MD 21784-7949
(410) 795-2155
(410) 795-2154
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
01503
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/05/2017
Last updated
06/13/2022
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