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Organization

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSALIE KREIGHBAUM (REGIONAL CREDENTIALING SPECIALIST)
(314) 909-1920
Entity
Organization

Contact information

Practice address
560 RIVERSIDE DR STE A101, SALISBURY, MD 21801-4702
(410) 749-0121
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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