Individual
MARY H FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10931 MARTINGALE CT, POTOMAC, MD 20854-1500
(301) 983-3795
Mailing address
10931 MARTINGALE CT, POTOMAC, MD 20854-1500
(301) 983-3795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D23448
MD
Other
Enumeration date
02/08/2007
Last updated
07/29/2008
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