Organization
ADVANCED PEDORTHICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GOLDMAN CETIFIED PEDORTHIST (OWNER)
(443) 844-6395
Entity
Organization
Contact information
Practice address
5411 OLD FREDERICK RD STE 10, BALTIMORE, MD 21229-2126
(443) 844-6395
(410) 788-7785
Mailing address
5411 OLD FREDERICK RD SUITE 10, BALTIMORE, MD 21229
(443) 844-6395
(410) 788-7785
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
03836323
MD
Other
Enumeration date
09/17/2014
Last updated
09/02/2020
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