Individual ProviderPaul LadensonRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-9270(410) 955-2130PECOS EnrollmentBased on the most recent information from CMS, provider Paul Ladenson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1013955079Provider TypeIndividualFull NameLadenson, PaulCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/3/2006Last Updated2/11/2013Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-9270FaxUnlisted FaxMailing LocationMailing AddressPO Box 64358, Baltimore, MD 21264-4358Phone(410) 955-2130FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD29354MarylandProvider IdentifiersIDDescriptionIssuerID29891300DescriptionMedicaidIssuerUnlistedMaryland