NPI 1023142072

Richard I Chase, OWNER

Practitioner Primary Podiatric Medicine Podiatrist Baltimore, MD

Practice location

Address: 1721 Pennsylvania Ave, Baltimore, MD 21217-3119
Phone: (410) 523-2121
Mailing address: PO Box 374, Monkton, MD 21111-0374

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 00887 (MD)

Other Podiatrist providers in Maryland →

Registry record

NPI: 1023142072
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
Record last updated: 14 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.