Organization
MARY JO FISHBURN, M.D., PA
Active
Organization
MARY JO FISHBURN, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO FISHBURN M.D. (OWNER)
(410) 821-1785
Entity
Organization
Contact information
Practice address
7801 YORK RD, SUITE #200, TOWSON, MD 21204-7446
(410) 821-1785
(410) 821-1789
Mailing address
7801 YORK RD, SUITE #200, TOWSON, MD 21204-7446
(410) 821-1785
(410) 821-1789
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D38344
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42481206
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/13/2006
Last updated
08/14/2008
Update your record
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