Organization
SAMUEL D BEITLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL D BIETLER DPM (PODIATRIST)
(410) 768-0702
Entity
Organization
Contact information
Practice address
795 AQUAHART RD, SUITE 125, GLEN BURNIE, MD 21061-3962
(410) 798-0707
(410) 768-0649
Mailing address
795 AQUAHART RD, SUITE 125, GLEN BURNIE, MD 21061-3962
(410) 798-0707
(410) 768-0649
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
00445
MD
Other
Enumeration date
05/09/2017
Last updated
08/01/2017
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