MEDICARE: DR. RICHARD J NOBLE D.P.M.

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	213ES0131X	Foot Surgery Podiatrist	981	MD

General Provider Information

NPI Number	:	1306842778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD J NOBLE D.P.M.

Provider Business Mailing Address
First Line	:	11 KATHSWAY CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-1449
Country	:	US
Telephone Number	:	410-661-2132
Fax Number	:	410-882-9222

Provider Business Practice Location Address
First Line	:	11 KATHSWAY CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-1449
Country	:	US
Telephone Number	:	410-661-2132
Fax Number	:	410-882-9222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	12/13/2023

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