Gracemprincetorain Dpm in Odenton - Foot Surgery

Gracemprincetorain Dpm - NPI 1164640355

Gracemprincetorain Dpm is a Foot Surgery in Odenton, Maryland. Gracemprincetorain Dpm practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Gracemprincetorain Dpm is 1164640355. The last update date is 2008-06-25.

Gracemprincetorain Dpm's current location address is 8379 Piney Orchard Pkwy, Odenton, Maryland. You can contact this provider via phone number 4106743707. The mailing address for Gracemprincetorain Dpm is 8379 Piney Orchard Pkwy, Odenton, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gracemprincetorain Dpm
Address 8379 Piney Orchard Pkwy, Odenton, Maryland
Phone Number 4106743707
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PODIATRIST
Authorized Official Name Prince-Torain M Grace
Credentials D.P.M.
Telephone Number 4106743707

NPI Number Detail

NPI Number 1164640355
Provider Enumeration Date 2007-04-23
Last Updated Date 2008-06-25

Provider Mailing Address Detail

Address 8379 Piney Orchard Pkwy
City Odenton
State Maryland (MD)
Post Code 211131508
Phone Number 4106743707
Fax Number

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 1416
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

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FAQs about Gracemprincetorain Dpm

What is the unique 10-digit identifier code assigned to Gracemprincetorain Dpm by the Centers for Medicare & Medicaid Services?

The Gracemprincetorain Dpm has been issued the NPI (National Provider Identifier) 1164640355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Gracemprincetorain Dpm?

The Gracemprincetorain Dpm is situated at 8379 Piney Orchard Pkwy, in the city of Odenton, state of MD, with the zip code 211131508.

What is Gracemprincetorain Dpm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gracemprincetorain Dpm is Foot Surgery, and the taxonomy code that classifies this field of practice is 213Es0131X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164640355 to Gracemprincetorain Dpm?

The Centers for Medicare & Medicaid Services assigned the 1164640355 to Gracemprincetorain Dpm on 2007-04-23.

When was the information related to Gracemprincetorain Dpm most recently updated or refreshed?

The details pertaining to the Gracemprincetorain Dpm, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-25.

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