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9622 Deereco Road, Timonium, MD 21093 | |
(410) 560-2777 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 9622 Deereco Road, Timonium, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093731366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | 01433 (Maryland) | Primary |
Provider Name | Jordan R Stewart |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689624033 PECOS PAC ID: 8628081197 Enrollment ID: I20060731000051 |
Mailing Address | Practice Location Address |
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9622 Deereco Road, Timonium, MD 21093 Ph: (410) 560-2777 | 9622 Deereco Road, Timonium, MD 21093 Ph: (410) 560-2777 |
Baltimore Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 12221-3 Tullamore Road, Timonium, MD 21093 Phone: 410-308-7808 | |
Dr. Jordan Richard Stewart, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9622 Deereco Rd, Timonium, MD 21093 Phone: 410-560-2777 Fax: 443-901-1131 |