Provider Demographics
NPI:1194319194
Name:FAMILY FOOT & ANKLE ASSOCIATES OF MARYLAND, P.A.
Entity type:Organization
Organization Name:FAMILY FOOT & ANKLE ASSOCIATES OF MARYLAND, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-924-5044
Mailing Address - Street 1:3408 OLANDWOOD CT STE 204
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1367
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3408 OLANDWOOD CT STE 204
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1367
Practice Address - Country:US
Practice Address - Phone:301-924-5044
Practice Address - Fax:301-924-5933
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY FOOT & ANKLE ASSOCIATES OF MARYLAND, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies