| Organization Name: | FAMILY FOOTCARE |
| NPI Number: | 1629151279 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARNOLD FORMAN (PRESIDENT) |
| Mailing Address: | 1123 Merritt Blvd Dundalk |
| State: | MD US |
| Postal Code: | 212221438 |
| Phone Number: | 4102826666 |
| Fax Number: | 4102820357 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 01/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | M00338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |