MEDICARE: PODIATRY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1316683451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	1 N MAIN ST
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-3592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 WASHINGTON RD
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5845
Country	:	US
Telephone Number	:	410-876-8637
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	ERIN TAYLOR
Credential	:
Telephone Number	:	410-879-1212

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/11/2022

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