Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 01349 | MD |
Y | 222Z00000X | Podiatrist | 01349 | MD |
N | 213E00000X | Podiatrist | PO 2100 | FL |
N | 222Z00000X | Podiatrist | PO 2100 | FL |
N | 213E00000X | Podiatrist | PO1000038 | DC |
N | 222Z00000X | Podiatrist | PO1000038 | DC |
NPI | 1043273451 |
---|---|
Provider Name | Dr. Samuel Robert Galitzer |
First Address | Potomac, MD 20854-3442 |
Second Address | Potomac, MD 20854-3442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 28/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012306400 | (05) | MD |
037025300 | (05) | DC |
5246030001 | MEDICARE DME (01) | |
U12411 | (02) | MD |