Provider Demographics
NPI:1871570713
Name:BAER, MARC D (DPM)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:D
Last Name:BAER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:931 E HAVERFORD RD FL 3
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3838
Mailing Address - Country:US
Mailing Address - Phone:610-642-5040
Mailing Address - Fax:610-642-5042
Practice Address - Street 1:931 E HAVERFORD RD FL 3
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3838
Practice Address - Country:US
Practice Address - Phone:610-642-5040
Practice Address - Fax:610-642-5042
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2020-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MD00273700213ES0103X
PASC004682L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5579940001Medicare NSC
PA066986S58Medicare PIN
U90133Medicare UPIN