Organization
PODIATRY ASSOCIATES PA
Active
Parent organization
PODIATRY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PODIATRY ASSOCIATES PA
Authorized official
ERIN TAYLOR (CREDENTIALING)
(410) 420-4325
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR STE 440, COLUMBIA, MD 21045-2364
(410) 730-0970
(410) 730-0161
Mailing address
1 N MAIN ST, BEL AIR, MD 21014-3592
(410) 879-1763
(410) 803-1859
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600968901
—
MD
01
—
E602
BCBS-MD
MD
Enumeration date
05/04/2015
Last updated
09/20/2024
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