Dr. Ian Vandergulik
Foot & Ankle Surgery
10 N Greene St # 112b
Baltimore
, Maryland 21201-1524
Dr. Ian Vandergulik
Foot & Ankle Surgery
10 N Greene St # 112b
Baltimore
, Maryland 21201-1524
(860) 770-5113
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Ian Vandergulik
- Po Box 180
- Kensington, CT
- Zip : 06037-0180
- Phone : (860) 770-5113
Second Address
- Dr. Ian Vandergulik
- 10 N Greene St # 112b
- Baltimore, MD
- Zip : 21201-1524
- Phone : (410) 605-7242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 9934 | MD |
National Provider Identifier
| NPI | 1033733852 |
|---|---|
| Provider Name | Dr. Ian Vandergulik |
| First Address | Kensington, CT 06037-0180 |
| Second Address | Baltimore, MD 21201-1524 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
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.