Organization
JAY SEIDEL DPM PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY SEIDEL DPM (OWNER)
(410) 905-5496
Entity
Organization
Contact information
Practice address
5508 HARFORD RD, BALTIMORE, MD 21214-2231
(410) 426-5508
Mailing address
5508 HARFORD RD, BALTIMORE, MD 21214-2231
(410) 426-5508
(410) 426-4066
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
01551
MD
332B00000X
Durable Medical Equipment & Medical Supplies
01551
MD
Other
Enumeration date
05/20/2014
Last updated
12/10/2015
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