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Organization

MICHAEL E PEARLMAN D.P.M., P.A.

Active
Parent organization
MICHAEL E PEARLMAN D.P.M., P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHAEL E PEARLMAN D.P.M., P.A.
Authorized official
MICHAEL EDWARD PEARLMAN D.P.M. (DOCTOR)
(301) 843-8058
Entity
Organization

Contact information

Practice address
12103 OLD LINE CTR, WALDORF, MD 20602-2552
(301) 843-8058
(301) 932-8621
Mailing address
12103 OLD LINE CTR, WALDORF, MD 20602-2552
(301) 843-8058
(301) 932-8621

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00351
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
255074
OPTIMUM CHOICE/MAMSI/ALLI
MD
01
46210001
BC OF DC
DC
01
T085
BC OF MARYLAND
MD
Enumeration date
11/20/2007
Last updated
12/06/2007
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