Organization Name: | RENAISSANCE FOOT & ANKLE CENTER |
NPI Number: | 1750727350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALAN DEROY (VP) |
Mailing Address: | 7223 Hanover Pkwy Suite B Greenbelt |
State: | MD US |
Postal Code: | 207702023 |
Phone Number: | 3014412655 |
Fax Number: | 3014412656 |
NPI Enumeration Date: | 05/22/2013 |
NPI Last Update Date: | 05/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |