Individual
MARY LINDA FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 CENTER DR, BETHESDA, MD 20892-0004
(301) 496-0877
Mailing address
10 CENTER DR, BETHESDA, MD 20892-0004
(301) 496-0877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0071536
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7378633
AETNA
—
01
—
P020233010
BLUE SHIELD
—
Enumeration date
05/24/2006
Last updated
10/20/2025
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