Fertsch, Diana

Fertsch, Diana is an individual health care provider with primary practice located at 1792 Merritt Blvd Dundalk Pediatric Associates, Dundalk MD 21222-2122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fertsch, Diana can be contacted via phone (410) 284-1133.

Contact Information

Primary practice address
1792 Merritt Blvd Dundalk Pediatric Associates Dundalk MD 21222-2122
Phone: (410) 284-1133
Fax: (410) 284-3371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D45937 Maryland

Profile Details

NPI number 1508839077
LBN Legal business name Fertsch, Diana
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508839077 NPPES
Maryland MEDICAID 147571100

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