JAY S LEBOW DPM PA NPI 1609808443

NPI Information

JAY S LEBOW DPM PA is a sports medicine podiatrist in Baltimore, MD. JAY S LEBOW DPM PA NPI is 1609808443. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lebow Podiatry.

The provider's business location address is:

1626 E FORT AVE
BALTIMORE, MD
ZIP 21230-245
Phone: (410) 332-1414
Fax: (410) 332-1423

The provider's authorized official is Jay S. Lebow .
The authorized official title is President and has the following contact phone number (410) 332-1414.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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