Provider Demographics
NPI:1326159211
Name:FLAUM, MARTIN C (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:C
Last Name:FLAUM
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 W EDMONSTON DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1280
Mailing Address - Country:US
Mailing Address - Phone:301-340-8666
Mailing Address - Fax:301-340-7448
Practice Address - Street 1:50 W EDMONSTON DR
Practice Address - Street 2:SUITE 306
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1280
Practice Address - Country:US
Practice Address - Phone:301-340-8666
Practice Address - Fax:301-340-7448
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00303213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD400136Medicare PIN
MDT31080Medicare UPIN