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Individual

DR. NORMAN FRANKLIN FINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1311 S. MAIN ST. STE 104, MOUNT AIRY, MD 21771
(301) 829-4118
(301) 829-1302
Mailing address
1311 S. MAIN ST. STE 104, MOUNT AIRY, MD 21771
(301) 829-4118
(301) 829-1302

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0599
MD
152WS0006X
Sports Vision Optometrist
TAO599
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000X237
BLUE CROSS/BLUE SHIELD
MD
01
1031589
AETNA
MD
01
271019
MDIPA
MD
05
801118400
MD
01
89160002
BLUECROSS/BLUESHEILD
DC
Enumeration date
02/03/2006
Last updated
12/23/2019
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