Organization · Type 2 NPI

Mickenbergs Ambulatory Foot Care PA

Durable Medical Equipment & Medical Supplies · Pasadena, MD

NPI number 1386822104 Active

Practice location

8094 Edwin Raynor Blvd, Ste C
Pasadena, MD 21122-6834

Fax (410) 360-4955

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X01053 (MD)
Durable Medical Equipment & Medical Supplies Primary 332B00000X01053 (MD)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1386822104

Mickenbergs Ambulatory Foot Care PA's National Provider Identifier is 1386822104, issued on Feb 4, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Pasadena, MD. The record was last updated on Apr 14, 2011.