Organization
MITCHELL A BARBER DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL A BARBER DPM (PRESIDENT)
(301) 490-2216
Entity
Organization
Contact information
Practice address
7350 VAN DUSEN RD, SUITE 310, LAUREL, MD 20707-5264
(301) 490-2216
(301) 490-6705
Mailing address
PO BOX 374, MONKTON, MD 21111-0374
(443) 522-9749
(443) 522-9725
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
01305
MD
332B00000X
Durable Medical Equipment & Medical Supplies
01305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406504200
—
MD
05
—
406573500
—
MD
01
—
F751
BC/BS FEDERAL
—
01
—
KBU5MI
BC/BS
—
Enumeration date
09/25/2006
Last updated
09/26/2008
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