| |
8700 Central Ave, Suite 105, Landover, MD 20785-4831 | |
(301) 499-3338 | |
(301) 499-1266 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 8700 Central Ave, Landover, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205016169 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 01202 (Maryland) | Primary |
Provider Name | John Edwin Bubser |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184763583 PECOS PAC ID: 2860486974 Enrollment ID: I20040428001127 |
Provider Name | Amenze Ehanika |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346863347 PECOS PAC ID: 2567907199 Enrollment ID: I20240708003389 |
Mailing Address | Practice Location Address |
---|---|
8700 Central Ave, Suite 105, Landover, MD 20785-4831 Ph: (301) 499-3338 | 8700 Central Ave, Suite 105, Landover, MD 20785-4831 Ph: (301) 499-3338 |
John Edwin Bubser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8700 Central Ave, Suite 105, Landover, MD 20785 Phone: 301-499-3338 Fax: 301-499-1266 | |
Amenze Ehanika, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8700 Central Ave Ste 105, Landover, MD 20785 Phone: 301-499-3338 Fax: 301-499-1266 |