George T Fantry M.D.

NPI 1043272610 - Internal Medicine - 207RG0100X

NPI Details
NPI 1043272610
Gender Male
Enumeration Date 04/06/2006
Last Updated 11/12/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
22 S GREENE ST
BALTIMORE MD, 21201-1544, US
Phone (410) 328-8732
Fax (410) 328-8315
Business Location
PO BOX 64442
BALTIMORE MD, 21264-4442, US
Phone (410) 328-8732
Fax (410) 328-8315
Toxanomy
Taxonomy Code 207RG0100X
License State Maryland
License Number D40061
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According to our database, Dr. George T Fantry M.D. NPI is 1043272610, taxonomy code is 207RG0100X and license number is D40061, license state is located at Maryland. George T Fantry M.D. physically located at 22 S Greene St, Baltimore MD, 21201-1544. NPI Number George T Fantry M.D. has the Individual type.

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1043272610 NPI number is provided on an as is basis without warranty of any kind. 1043272610 is maintained by the National Plan & Provider Enumeration System. The contents of George T Fantry M.D. are for informational purposes only.