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NPI Code Detail

MEDICARE: PODIATRY ASSOCIATES PA

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
1213E00000XPodiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E602OTHERMDBCBS-MD
2E602OTHERMDBCBS-DC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609253269
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 : 410-879-1763
Fax Number : 410-803-1859
Provider Business Practice Location Address
First Line : 5500 KNOLL NORTH DR STE 440
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2364
Country : US
Telephone Number : 410-730-0970
Fax Number : 410-730-0161
Authorized Official
Title or Position : CREDENTIALING
Name : ERIN TAYLOR
Credential :
Telephone Number : 410-420-4325
Provider Enumeration Date : 05/04/2015
Last Update Date : 09/20/2024

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Directions to “PODIATRY ASSOCIATES PA ” Practice Location

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