# MARY JO FISHBURN, M.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144310145
- **Authorized official:** MARY JO FISHBURN M.D. (OWNER)
- **Authorized official phone:** (410) 821-1785

## Contact information

- **Practice address:** 7801 YORK RD, SUITE \#200, TOWSON, MD 21204-7446
- **Practice address phone:** (410) 821-1785
- **Practice address fax:** (410) 821-1789
- **Mailing address:** 7801 YORK RD, SUITE \#200, TOWSON, MD 21204-7446
- **Mailing address phone:** (410) 821-1785
- **Mailing address fax:** (410) 821-1789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D38344 | MD | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/14/2008