MEDICARE: GARY A PICHNEY DPM

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	332B00000X	Durable Medical Equipment & Medical Supplies	01193	MD

General Provider Information

NPI Number	:	1497932446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY A PICHNEY DPM

Provider Business Mailing Address
First Line	:	7600 OSLER DRIVE
Second Line	:	STE 406
City	:	TOWSON
State	:	MD
Zip	:	21204-7703
Country	:	US
Telephone Number	:	410-583-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 OSLER DRIVE
Second Line	:	STE 406
City	:	TOWSON
State	:	MD
Zip	:	21204-7703
Country	:	US
Telephone Number	:	410-583-0770
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GARY A PICHNEY
Credential	:	D.P.M.
Telephone Number	:	410-583-0770

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	01/22/2008

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