Organization Name: | MARC D BAER DPM LLC |
NPI Number: | 1093830077 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC D BAER (PRESIDENT) |
Mailing Address: | Medical Office Building West Suite 330 Wynnewood |
State: | PA US |
Postal Code: | 19096 |
Phone Number: | 6106425040 |
Fax Number: | 6106425042 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC004682L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |