Provider Demographics
NPI:1821257882
Name:MARYLAND PODIATRY SERVICES
Entity Type:Organization
Organization Name:MARYLAND PODIATRY SERVICES
Other - Org Name:GREATER WASHINGTON ADVANCE PODIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/ MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-515-3338
Mailing Address - Street 1:19525 DOCTORS DR STE 203
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5262
Mailing Address - Country:US
Mailing Address - Phone:301-515-3338
Mailing Address - Fax:301-560-5919
Practice Address - Street 1:19525 DOCTORS DR STE 203
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5262
Practice Address - Country:US
Practice Address - Phone:301-515-3338
Practice Address - Fax:301-560-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty