Dr. Marianne Fotiadis Fridberg
M.D. | Pediatric Adolescent Medicine | Female
Dr. Marianne Fotiadis Fridberg, M.D. is a Havre De Grace, Maryland based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Marianne Fotiadis Fridberg is
510 Revolution St, Havre De Grace, Maryland - 21078-3318. She can be contacted on phone at
410-939-5330 and fax number 410-939-6204.
Dr. Marianne Fotiadis Fridberg is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Marianne Fotiadis Fridberg is
1568489318 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 08 Jul, 2007.
Dr. Marianne Fotiadis Fridberg license number is
D22433 for Pediatrics Adolescent Medicine (2080A0000X) in Maryland.
Dr. Marianne Fotiadis Fridberg specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Marianne Fotiadis Fridberg basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Marianne Fotiadis Fridberg |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Marianne Fotiadis Fridberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 510 Revolution St
Havre De Grace, MD, 21078-3318
United States |
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| Phone Number : | 410-939-5330 |
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| Fax Number : | 410-939-6204 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568489318 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marianne Fotiadis Fridberg are as mentioned. Primary taxonomy code for Dr. Marianne Fotiadis Fridberg, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | D22433 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Marianne Fotiadis Fridberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1377684 | Other | MD | FIRST HEALTH |
| T7960001 | Other | MD | CAREFIRST BLUECHOICE |
| 4283566 | Other | MD | AETNA PPO |
| 2809440371 | Other | MD | COVENTRY |
| 817508 | Other | MD | MAMSI |
| 897793 | Other | MD | AETNA HMO |
| S951 | Other | MD | BLUECROSS/BLUESHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 337
Havre De Grace, MD, 21078-0337
United States |
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| Phone Number : | 410-939-9442 |
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Business Location:
Patients can refer following map for directions to
Dr. Marianne Fotiadis Fridberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.