Provider Demographics
NPI:1548371123
Name:CENTER FOR FOOT AND ANKLE CARE,P.C.
Entity type:Organization
Organization Name:CENTER FOR FOOT AND ANKLE CARE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:703-207-0073
Mailing Address - Street 1:3020 HAMAKER CT
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2238
Mailing Address - Country:US
Mailing Address - Phone:703-207-0073
Mailing Address - Fax:703-207-9333
Practice Address - Street 1:3020 HAMAKER CT
Practice Address - Street 2:SUITE 201
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2238
Practice Address - Country:US
Practice Address - Phone:703-207-0073
Practice Address - Fax:703-207-9333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01902C01Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER