| |
10720 Baltimore Ave, Beltsville, MD 20705-2138 | |
(301) 937-5666 | |
(301) 937-0453 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 10720 Baltimore Ave, Beltsville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265462188 | NPI | - | NPPES |
9022007 00 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | David Deiboldt |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992735807 PECOS PAC ID: 8022153477 Enrollment ID: I20100310000610 |
Provider Name | Holly M Beck |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912938481 PECOS PAC ID: 0840335295 Enrollment ID: I20100310000640 |
Mailing Address | Practice Location Address |
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10720 Baltimore Avenue, Beltsville, MD 20705 Ph: (301) 937-5666 | 10720 Baltimore Ave, Beltsville, MD 20705-2138 Ph: (301) 937-5666 |
Dr. David Deiboldt, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10720 Baltimore Ave, Beltsville, MD 20705 Phone: 301-937-5666 Fax: 301-937-0453 |