Organization
LARGO FOOT & ANKLE HEALTH CENTER AND AMBULATORY SURGICAL CENTER,INC'
Active
Other names
Ade adetunji
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEMUYIWA ADEKOLA ADETUNJI DPM (PRESIDENT)
(301) 386-5453
Entity
Organization
Contact information
Practice address
1450 MERCANTILE LN STE 151, UPPER MARLBORO, MD 20774-5386
(301) 386-5453
(301) 386-5396
Mailing address
PO BOX 265, FULTON, MD 20759-0265
(301) 386-5453
(301) 386-5396
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01264
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035063500
—
DC
05
—
319906101
—
MD
Enumeration date
10/03/2006
Last updated
09/04/2024
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