Organization
PODIATRY ASSOCIATES, P.A.
Active
Organization
PODIATRY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BAKER (EXECUTIVE DIRECTOR)
(410) 879-1212
Entity
Organization
Contact information
Practice address
1 N MAIN ST, BEL AIR, MD 21014-3592
(410) 879-1763
(410) 803-1859
Mailing address
1 N MAIN ST, BEL AIR, MD 21014-3592
(410) 879-1763
(410) 803-1859
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600968906
—
MD
01
—
E602
BCBS-MD
MD
Enumeration date
04/17/2007
Last updated
02/03/2020
Update your record
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