Individual
DR. DOROTHY P FEDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4565
(410) 766-7602
Mailing address
PO BOX 8160, PHILADELPHIA, PA 19101-8160
(410) 787-4565
(410) 766-7602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D57149
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808104200
—
MD
Enumeration date
05/31/2006
Last updated
05/09/2024
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