Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACEMPRINCETORAIN DPM
Active OrganizationGRACEMPRINCETORAIN DPM is a Foot Surgery Podiatrist organization located in ODENTON, Maryland. NPI 1164640355 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · ODENTON, MD
Registration Details
- NPI Number
- 1164640355
- Provider Type
- Organization
- NPI Issued
- Apr 23, 2007 (19.35129215015 yrs)
- Last Updated
- Jun 25, 2008
- License
-
01416 (MD)
Practice Information
- Address
-
8379 PINEY ORCHARD PKWYDODENTON, MD, 211131508Browse MD providers · Browse ZIP 21113
- Phone
- 4106743707
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.