Organization
MIRKIN FOOT ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE S MIRKIN DPM (PRESIDENT)
(301) 949-2000
Entity
Organization
Contact information
Practice address
2415 MUSGROVE RD, SUITE 103, SILVER SPRING, MD 20904-5200
(301) 384-6500
(301) 384-6670
Mailing address
2415 MUSGROVE RD, SUITE 103, SILVER SPRING, MD 20904-5200
(301) 949-2000
(301) 949-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061368101
—
MD
Enumeration date
01/29/2008
Last updated
11/25/2011
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