Organization
PROFESSIONAL MANAGEMENT SERVICES, LLC
Active
Other names
Podiatry Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT PAUL ROSEN D.P.M. (PRESIDENT)
(410) 580-0255
Entity
Organization
Contact information
Practice address
707 OLD CROSSING DR, BALTIMORE, MD 21208-3308
(410) 580-0255
(410) 486-2049
Mailing address
1 SLADE AVE, #405, BALTIMORE, MD 21208-5240
(410) 580-0255
(888) 241-3302
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750400400
—
MD
01
—
G00794
MEDICARE PIN
DC
Enumeration date
04/25/2006
Last updated
09/06/2016
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