Provider Demographics
NPI:1447261250
Name:SAFFO, GINA M (DPM)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:M
Last Name:SAFFO
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:1600 E GUDE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1341
Mailing Address - Country:US
Mailing Address - Phone:301-933-7133
Mailing Address - Fax:301-933-7137
Practice Address - Street 1:7501 GREENWAY CENTER DR
Practice Address - Street 2:MARYLAND TRADE CENTER LLL, SUITE 810
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3514
Practice Address - Country:US
Practice Address - Phone:301-577-4464
Practice Address - Fax:301-577-4702
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2018-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD01021213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD648302000Medicaid
T84728Medicare UPIN
MD648302000Medicaid
428699Medicare Oscar/Certification