Organization
DR SAMUEL D BEITLER PA
Active
Other names
Dr Samuel D Beitler PA, ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL D BEITLER DPM (OWNER)
(410) 768-0702
Entity
Organization
Contact information
Practice address
795 AQUAHART RD, #125, GLEN BURNIE, MD 21061-3962
(410) 768-0702
(410) 768-0649
Mailing address
795 AQUAHART RD, #125, GLEN BURNIE, MD 21061-3962
(410) 768-0702
(410) 768-0649
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
445
MH
Other
Enumeration date
07/01/2006
Last updated
06/18/2008
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