Mickenbergs Ambulatory Foot Care PA
NPI #1386822104 in Pasadena, Maryland
Provider Information
- NPI Number
- 1386822104
- Entity Type
- Organization
- Organization Name
- Mickenbergs Ambulatory Foot Care PA
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Apr 14, 2011
Practice Location
Authorized Official
- Name
- DR. JAY MARC MICKENBERG, DPM
- Title
- OWNER
- Phone
- (410) 255-0040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
| Durable Medical Equipment & Medical Supplies |
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