Organization
BAYSIDE FOOT & ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS SAMUEL COHEN D.P.M. (PRESIDENT)
(410) 761-4190
Entity
Organization
Contact information
Practice address
8023 RITCHIE HWY, PASADENA, MD 21122-7107
(410) 761-4190
(410) 761-0265
Mailing address
8023 RITCHIE HWY, PASADENA, MD 21122-7107
(410) 761-4190
(410) 761-0265
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358668500
—
MD
01
—
KT11
CAREFIRST BLUE SHIELD
MD
01
—
T584
BLUE CHOICE
MD
Enumeration date
03/20/2007
Last updated
06/06/2008
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