JOHN P LYDON DPM
Surgery Yellow Pages
Bethesda, Maryland
Provider NPI: 1619967726
Organization Information:Organization Name: JOHN P LYDON DPM
Practice Location:
5620 SHIELDS DR BETHESDA, MD 20817 US
Tel: 301-530-4181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5620 SHIELDS DR BETHESDA, MD 20817 US
Tel: 301-530-4181 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | MD | A1170 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ALLIANCE | 332454 | MD | 01 |
BLUE CROSS & BLUE SHIELD | MV1 | MD | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin