Foot Care Center of College Park, Chartered
NPI #1043399439 in College Park, Maryland
Provider Information
- NPI Number
- 1043399439
- Entity Type
- Organization
- Organization Name
- Foot Care Center of College Park, Chartered
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Nov 4, 2006
- Last Updated
- Dec 7, 2007
Practice Location
- Address
- 4511 KNOX RD
- Address 2
- SUITE 103
- City
- College Park
- State
- Maryland
- ZIP Code
- 20740-3380
- Phone
- (301) 779-0355
Authorized Official
- Name
- DR. RICHARD MARC JACOBS, D.P.M.
- Title
- OWNER/PRESIDENT
- Phone
- (301) 779-0355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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