DR. Jay Marc Mickenberg, DPM

NPI #1336149962 in Pasadena, Maryland

Provider Information

NPI Number
1336149962
Entity Type
Individual
Name
DR. Jay Marc Mickenberg, DPM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Jul 26, 2005
Last Updated
Feb 21, 2024

Practice Location

Address
8094 EDWIN RAYNOR BLVD
Address 2
SUITE C
ZIP Code
21122-6834
Phone
(410) 255-0040

Specialties & Taxonomy Codes

Specialty
Podiatrist

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