Individual
FERNANDA PORTO CARREIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14955 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850
(301) 990-3190
(410) 367-2021
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0075506
MD
207R00000X
Internal Medicine Physician
Primary
D75506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066268200
—
MD
Enumeration date
03/24/2010
Last updated
06/01/2018
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