institution
Mickenbergs Ambulatory Foot Care Pa
Durable Medical Equipment & Medical Supplies in Pasadena, Maryland
NPI 1386822104

Mickenbergs Ambulatory Foot Care Pa is a Durable Medical Equipment & Medical Supplies based in Pasadena, MD. Mickenbergs Ambulatory Foot Care Pa practices in Pasadena, MD. The NPI Number for Mickenbergs Ambulatory Foot Care Pa is 1386822104 and holds a License No. 01053 (Maryland).

The current practice location address for Mickenbergs Ambulatory Foot Care Pa is 8094 Edwin Raynor Blvd, Pasadena, MD and can be reached out via phone at 410-255-0040 and via fax at 410-360-4955.

Location: 8094 Edwin Raynor Blvd, Pasadena, MD, 21122-6834
institution
Provider Profile Details
NPI Number
1386822104
Provider Name
Mickenbergs Ambulatory Foot Care Pa
Credential
Provider Entity Type
Organization
Address
8094 Edwin Raynor Blvd, Pasadena, MD, 21122-6834
Phone Number
410-255-0040
Fax Number
410-360-4955
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1338463 01 CIGNA
1386822104 01 COVENTRY
1386822104 01 MAMSI
1386822104 01 ALLIANCE
T276 01 MD CAREFIRST
1386822104 01 FIRST HEALTH
1386822104 01 FIDELITY
1386822104 01 EHP
217484 01 MDIPA/OPTIMUM CHOICE
062308307 05 MD
1386822104 01 EMPLOYER HEALTH INSURANCE
480012800 01 RAILROAD MEDICARE
B765 001 01 CAREFIRST FEDERAL EMPLOYEE PROGRAM
1386822104 01 TRICARE
1386822104 01 UNITED HEALTHCARE
T765 01 MD BLUE CHOICE
institution
Provider Business Practice Location Address Details
Address
8094 Edwin Raynor Blvd
City
State
Zip
21122-6834
Phone Number
410-255-0040
Fax Number
410-360-4955
person
Provider Business Mailing Address Details
Address
8094 Edwin Raynor Blvd
City
State
Zip
21122-6834
Phone Number
410-255-0040
Fax Number
410-360-4955
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
01053 (Maryland)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
01053 (Maryland)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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