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Organization

DR SAMUEL D BEITLER PA

Active
Other names
Samuel D Beitler DPM
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL DONALD BEITLER DPM PA (OWNER PHYSICIAN)
(410) 768-0702
Entity
Organization

Contact information

Practice address
795 AQUAHART ROAD, SUITE NUMBER 125, GLEN BURNIE, MD 21061
(410) 768-0702
(410) 768-0649
Mailing address
795 AQUAHART ROAD, SUITE NUMBER 125, GLEN BURNIE, MD 21061
(410) 768-0702
(410) 768-0649

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
445
MD

Other

Enumeration date
05/31/2007
Last updated
02/11/2008
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