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Individual
DR. ANDREW JAY LANDIS
Active
Individual
DR. ANDREW JAY LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00890
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37024811 00
—
MD
01
—
39842201
BCBS NASCO
MH
01
—
R5690001
FEDERAL BCBS
MD
Enumeration date
06/09/2006
Last updated
07/08/2007
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