Individual
FENAN RASSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 735-4856
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06832
MD
208100000X
Physical Medicine & Rehabilitation Physician
06832
MD
Other
Enumeration date
05/14/2020
Last updated
11/07/2023
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