Organization
JOHN P LYDON DPM
Active
Other names
Bethesda Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK LYDON DPM (PODIATRIST/MEDICAL DIRECTOR)
(301) 530-4181
Entity
Organization
Contact information
Practice address
5620 SHIELDS DR, BETHESDA, MD 20817-3532
(301) 530-4181
(301) 530-4373
Mailing address
5620 SHIELDS DR, BETHESDA, MD 20817-3532
(301) 530-4181
(301) 530-4373
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1170
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332454
ALLIANCE
MD
01
—
MV1
BLUE CROSS & BLUE SHIELD
MD
Enumeration date
10/28/2005
Last updated
08/31/2010
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