DR. Jay Marc Mickenberg DPM

  • NPI 1336149962
According to our database, the NPI number for DR. Jay Marc Mickenberg DPM is 1336149962 and activated since 18 years ago. DR. Jay Marc Mickenberg DPM is an individual provider who specializes in Podiatrist, and the primary practice location is 8094 Edwin Raynor Blvd, Pasadena, MD 21122. You can also contact DR. Jay Marc Mickenberg DPM via telephone number is (410) 255-0040. Provider NPI information was last updated on 11/22/2010.

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Overview of DR. Jay Marc Mickenberg DPM

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/26/2005
  • Last updated: 11/22/2010

Primary Scrop of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 1053
  • License State: MD

Provider Mailing Address

  • Address: 8094 Edwin Raynor Blvd
    Suite C
    Pasadena, MD 21122
  • Phone: 410-255-0040
  • Fax: 410-360-4955

Provider Practice Location

  • Address: 8094 Edwin Raynor Blvd
    Suite C
    Pasadena, MD 21122
  • Phone: 410-255-0040
  • Fax: 410-360-4955

Scope of Practice

  • Taxonomy Code: 213E00000X
  • Specialty: Podiatrist
  • License Number: 1053
  • License State: MD
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 521617469
  • Identifier Type: Other
  • Identifier State:
  • Issuer: CIGNA HEALTHCARE OPEN ACC

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jay Marc Mickenberg DPM?
  • A: The npi number for DR. Jay Marc Mickenberg DPM is 1336149962.
  • Q: What are DR. Jay Marc Mickenberg DPM's specialties?
  • A: DR. Jay Marc Mickenberg DPM's specialties are Podiatrist and different specialities.
  • Q: What is the medical license for DR. Jay Marc Mickenberg DPM?
  • A: The medical license number for DR. Jay Marc Mickenberg DPM is 1053 and issued in MD in USA.
  • Q: Where is DR. Jay Marc Mickenberg DPM practice location?
  • A: DR. Jay Marc Mickenberg DPM is practicing at 8094 Edwin Raynor Blvd, Pasadena, MD 21122.
  • Q: How to contact DR. Jay Marc Mickenberg DPM?
  • A: You can contact DR. Jay Marc Mickenberg DPM via 410-255-0040.