Organization Name: | MARC D BAER DPM LLC |
NPI Number: | 1093790164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC D BAER (PRESIDENT) |
Mailing Address: | 600 Haverford Rd Ste G 103 Haverford |
State: | PA US |
Postal Code: | 190411139 |
Phone Number: | 6106425040 |
Fax Number: | 6106425042 |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00273700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |