STANLEY IDICULLA, DPM

DPM

Foot Surgery Podiatrist

NPI: 1043274368IndividualAccepts Medicare

Specialties, Licenses & Credentials

Foot Surgery PodiatristPrimary

Podiatrist — Foot Surgery

Code: 213ES0131X

XXXX(VA)

CMS Specialties

PrimaryPODIATRY

Education

NEW YORK COLLEGE OF PODIATRIC MEDICINE

Class of 2004

Contact & Hours

Address: 112 ELDEN ST, SUITE D
HERNDON, VA 20170
Phone: (703) 437-5353

Quick Facts

NPI: 1043274368
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 22

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