Dr. Charles Peter Sanicola
Foot & Ankle Surgery
372 Mill St
Hagerstown
, Maryland 21740-6138
Dr. Charles Peter Sanicola
Foot & Ankle Surgery
372 Mill St
Hagerstown
, Maryland 21740-6138
(301) 790-2327
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Charles Peter Sanicola
- 372 Mill St
- Hagerstown, MD
- Zip : 21740-6138
- Fax : (301) 790-2327
- Phone : (301) 790-2270
Second Address
- Dr. Charles Peter Sanicola
- 372 Mill St
- Hagerstown, MD
- Zip : 21740-6138
- Fax : (301) 790-2327
- Phone : (301) 790-2270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 470 | MD |
National Provider Identifier
| NPI | 1073543039 |
|---|---|
| Provider Name | Dr. Charles Peter Sanicola |
| First Address | Hagerstown, MD 21740-6138 |
| Second Address | Hagerstown, MD 21740-6138 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 12/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 368998100 | (05) | MD |
| 405775900 | DME MEDICAID (01) | MD |
| T59623 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.