Individual
DR. JILL ANN FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
200 N WOLFE ST, BALTIMORE, MD 21287-0011
(443) 287-9494
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D69356
MD
208000000X
Pediatrics Physician
134982
NC
Other
Enumeration date
04/25/2008
Last updated
10/15/2024
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