Organization
FREDERICK FOOT & ANKLE ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENISEY YANES DPM (MEMBER)
(301) 668-9707
Entity
Organization
Contact information
Practice address
141 THOMAS JOHNSON DR, SUITE 170, FREDERICK, MD 21702-4502
(301) 668-9707
Mailing address
PO BOX 826995, PHILADELPHIA, PA 19182-6995
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
02/19/2021
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