Provider Demographics
NPI:1942488853
Name:MARC B. SINGER DPM, PA
Entity Type:Organization
Organization Name:MARC B. SINGER DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-653-3330
Mailing Address - Street 1:4000 OLD COURT RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2889
Mailing Address - Country:US
Mailing Address - Phone:410-653-3330
Mailing Address - Fax:410-653-3386
Practice Address - Street 1:4000 OLD COURT RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2889
Practice Address - Country:US
Practice Address - Phone:410-653-3330
Practice Address - Fax:410-653-3386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0674213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0950440001Medicare NSC