Provider Demographics
NPI:1063000537
Name:PACE FOOT AND ANKLE CENTERS PLLC
Entity Type:Organization
Organization Name:PACE FOOT AND ANKLE CENTERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-642-5040
Mailing Address - Street 1:PO BOX 45926
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-5926
Mailing Address - Country:US
Mailing Address - Phone:610-431-0200
Mailing Address - Fax:
Practice Address - Street 1:590 REED RD STE B6
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3654
Practice Address - Country:US
Practice Address - Phone:203-929-7331
Practice Address - Fax:610-356-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies