Provider Demographics
NPI:1972771350
Name:ALAN E SINGER DPM FASPM CHARTERED
Entity Type:Organization
Organization Name:ALAN E SINGER DPM FASPM CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM FASPM
Authorized Official - Phone:301-530-5658
Mailing Address - Street 1:10215 FERNWOOD ROAD
Mailing Address - Street 2:SUITE 635
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1184
Mailing Address - Country:US
Mailing Address - Phone:301-530-5658
Mailing Address - Fax:301-530-2606
Practice Address - Street 1:10215 FERNWOOD ROAD
Practice Address - Street 2:SUITE 635
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1184
Practice Address - Country:US
Practice Address - Phone:301-530-5658
Practice Address - Fax:301-530-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00267213E00000X
DC00220213E00000X
VA00225213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD401103100Medicaid
MDT73524Medicare UPIN
MD0836520001Medicare NSC