institution
Shady Grove Podiatry, Llc
Foot & Ankle Surgery Podiatrist in Gaithersburg, Maryland
NPI 1518083443

Shady Grove Podiatry, Llc is a Foot & Ankle Surgery Podiatrist based in Gaithersburg, MD and is specialized in Foot & Ankle Surgery. Shady Grove Podiatry, Llc practices in Gaithersburg, MD. The NPI Number for Shady Grove Podiatry, Llc is 1518083443 and holds a License No. 00360 (Maryland).

The current practice location address for Shady Grove Podiatry, Llc is 16220 S Frederick Ave, Gaithersburg, MD and can be reached out via phone at 301-948-2995 and via fax at 301-948-6056.

Location: 16220 S Frederick Ave, Gaithersburg, MD, 20877-4039
institution
Provider Profile Details
NPI Number
1518083443
Provider Name
Shady Grove Podiatry, Llc
Credential
Provider Entity Type
Organization
Address
16220 S Frederick Ave, Gaithersburg, MD, 20877-4039
Phone Number
301-948-2995
Fax Number
301-948-6056
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16220 S Frederick Ave
City
State
Zip
20877-4039
Phone Number
301-948-2995
Fax Number
301-948-6056
person
Provider Business Mailing Address Details
Address
16220 S Frederick Ave
City
State
Zip
20877-4039
Phone Number
301-948-2995
Fax Number
301-948-6056
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00360 (Maryland)
Definition
Definition to come...
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