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Contact Information

JOHN P LYDON, DPM
12417 OCEAN GTWY STE A6
OCEAN CITY, MD21842-9521
 Phone: 443-664-7253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for JOHN P LYDON · (Male)

NPI # 1952391575
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/25/2005
Last updated 10/22/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # PC333
  • MD License # 00580
  • MD Medicaid 419588400
  • DC Other 13310001 BCBS
  • MD Other 330991 ALLIANCE
  • MD Other 13310001 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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