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Organization
PODIATRY ASSOCIATES PA
Active
Organization
PODIATRY ASSOCIATES PA
Active
Parent organization
PODIATRY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PODIATRY ASSOCIATES PA
Authorized official
ERIN TAYLOR (CREDENTIALING)
(410) 420-4325
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR STE 440, COLUMBIA, MD 21045-2364
(410) 730-0970
(410) 730-0161
Mailing address
1 N MAIN ST, BEL AIR, MD 21014-3592
(410) 879-1763
(410) 803-1859
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600968901
—
MD
01
—
E602
BCBS-MD
MD
Enumeration date
05/04/2015
Last updated
09/20/2024
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