Individual
DR. DIANA FERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1792 MERRITT BLVD, DUNDALK PEDIATRIC ASSOCIATES, DUNDALK, MD 21222-2122
(410) 284-1133
(410) 284-3371
Mailing address
1792 MERRITT BLVD, DUNDALK PEDIATRIC ASSOCIATES, DUNDALK, MD 21222
(410) 284-1133
(410) 284-3371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D45937
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147571100
—
MD
Enumeration date
02/07/2006
Last updated
06/19/2020
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