Michael Edward Pearlman
Primary Podiatric Medicine
12103 Old Line Ctr
Waldorf
, Maryland 20602-2552
Michael Edward Pearlman
Primary Podiatric Medicine
12103 Old Line Ctr
Waldorf
, Maryland 20602-2552
(301) 932-8621
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Michael Edward Pearlman
- 12103 Old Line Ctr
- Waldorf, MD
- Zip : 20602-2552
- Fax : (301) 932-8621
- Phone : (301) 843-8058
Second Address
- Michael Edward Pearlman
- 12103 Old Line Ctr
- Waldorf, MD
- Zip : 20602-2552
- Fax : (301) 932-8621
- Phone : (301) 843-8058
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 00351 | MD |
National Provider Identifier
| NPI | 1205861564 |
|---|---|
| Provider Name | Michael Edward Pearlman |
| First Address | Waldorf, MD 20602-2552 |
| Second Address | Waldorf, MD 20602-2552 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 12/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 255074 | OPTIMUM CHOICE (01) | MD |
| 2701052 | UNITED HEALTH CARE (01) | |
| 4621 | BC (01) | MD |
| 480016925 | RAILROAD RETIREMENT-MED (01) | |
| 602308800 | (05) | MD |
| 602308800 | PRIORITY PARTNERS MCO (01) | |
| T085 | BC (01) | MD |
| T30991 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.