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Organization
PROFESSIONAL MANAGEMENT SERVICES, LLC
Active
Organization
PROFESSIONAL MANAGEMENT SERVICES, LLC
Active
Other names
Podiatry Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT PAUL ROSEN D.P.M. (PRESIDENT)
(410) 580-0255
Entity
Organization
Contact information
Practice address
707 OLD CROSSING DR, BALTIMORE, MD 21208-3308
(410) 580-0255
(410) 486-2049
Mailing address
1 SLADE AVE, #405, BALTIMORE, MD 21208-5240
(410) 580-0255
(888) 241-3302
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750400400
—
MD
01
—
G00794
MEDICARE PIN
DC
Enumeration date
04/25/2006
Last updated
09/06/2016
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