institution
Jay S Lebow Dpm Pa
Sports Medicine Podiatrist in Baltimore, Maryland
NPI 1609808443

Jay S Lebow Dpm Pa is a Sports Medicine Podiatrist based in Baltimore, MD and is specialized in Sports Medicine. Jay S Lebow Dpm Pa practices in Baltimore, MD. The NPI Number for Jay S Lebow Dpm Pa is 1609808443 and holds a License No. (Maryland).

The current practice location address for Jay S Lebow Dpm Pa is 1626 E Fort Ave, Baltimore, MD and can be reached out via phone at 410-332-1414 and via fax at 410-332-1423.

Location: 1626 E Fort Ave, Baltimore, MD, 21230-5245
institution
Provider Profile Details
NPI Number
1609808443
Provider Name
Jay S Lebow Dpm Pa
Credential
Provider Entity Type
Organization
Address
1626 E Fort Ave, Baltimore, MD, 21230-5245
Phone Number
410-332-1414
Fax Number
410-332-1423
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480002770 01 MD MEDICARE RAILROAD
548128700 05 MD
institution
Provider Business Practice Location Address Details
Address
1626 E Fort Ave
City
State
Zip
21230-5245
Phone Number
410-332-1414
Fax Number
410-332-1423
person
Provider Business Mailing Address Details
Address
1626 E Fort Ave
City
State
Zip
21230-5245
Phone Number
410-332-1414
Fax Number
410-332-1423
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
()
Definition
Definition to come...
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