Doctor Name: | MITCHELL A BARBER |
NPI Number: | 1003916164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 01305 |
Business Practice Address: | 7350 Van Dusen Rd Suite 310 Laurel, MD - 207075264 |
Business Phone Number: | 3014902216 |
Business Fax Number: | 3014906705 |
Mailing Address: | Po Box 374, MONKTON |
State: | MD |
Postal Code: | 211110374 |
Phone Number: | 4435229749 |
Fax Number: | 4435229725 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 01305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |