Organization
FAMILY FOOT CLINIC OF GREATER BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT SMITH JR. DPM (PRESIDENT & CEO)
(410) 878-1340
Entity
Organization
Contact information
Practice address
1 VILLAGE SQ, SUITE 165, BALTIMORE, MD 21210-1602
(410) 878-1340
Mailing address
1 VILLAGE SQ, SUITE 165, BALTIMORE, MD 21210-1602
(410) 878-1340
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01466
MD
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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