Potomac Podiatry Associates Ltd in Montclair - Podiatrist
Potomac Podiatry Associates Ltd - NPI 1780866178
Potomac Podiatry Associates Ltd is a Podiatrist in Montclair, Virginia. Potomac Podiatry Associates Ltd practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Potomac Podiatry Associates Ltd is 1780866178. The last update date is 2013-05-17.
Potomac Podiatry Associates Ltd's current location address is 15700 Chapman Pl, Montclair, Virginia. You can contact this provider via phone number 7033705533 and fax number 7036809579. The mailing address for Potomac Podiatry Associates Ltd is 15700 Chapman Pl, Montclair, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potomac Podiatry Associates Ltd |
|---|---|
| Address | 15700 Chapman Pl, Montclair, Virginia |
| Phone Number | 7033705533 |
| Fax Number | 7036809579 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Dovberg Louis Jerome |
| Credentials | DPM |
| Telephone Number | 7033705533 |
NPI Number Detail
| NPI Number | 1780866178 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2013-05-17 |
Provider Mailing Address Detail
| Address | 15700 Chapman Pl |
|---|---|
| City | Montclair |
| State | Virginia (VA) |
| Post Code | 220251315 |
| Phone Number | 7033705533 |
| Fax Number | 7036809579 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 103000339 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9301127 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Potomac Podiatry Associates Ltd by the Centers for Medicare & Medicaid Services (CMS)?
The Potomac Podiatry Associates Ltd has been assigned the NPI (National Provider Identifier) 1780866178. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Potomac Podiatry Associates Ltd is geographically located?
The Potomac Podiatry Associates Ltd is physically situated at the following location: 15700 Chapman Pl, Montclair, VA, 220251315.
What is the Potomac Podiatry Associates Ltd's specialty and taxonomy code?
The Potomac Podiatry Associates Ltd's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did Potomac Podiatry Associates Ltd receive its 1780866178 assignment from the Centers for Medicare & Medicaid Services?
The Potomac Podiatry Associates Ltd was assigned its 1780866178 on 2007-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Potomac Podiatry Associates Ltd last refreshed?
The information related to the Potomac Podiatry Associates Ltd, including its address, specialty, and other relevant details, was last updated on 2013-05-17.