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Organization

DR. RICHARD C. FIDANZA LLC

Active
Other names
Dr. Richard C. Fidanza DC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD C FIDANZA DC (DOCTOR/ SOLE OWNER LLC)
(410) 266-9000
Entity
Organization

Contact information

Practice address
2770 SOLOMONS ISLAND RD, EDGEWATER, MD 21037-1211
(410) 266-9000
(410) 266-9058
Mailing address
2770 SOLOMONS ISLAND RD, EDGEWATER, MD 21037-1211
(410) 266-9000
(410) 266-9058

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23910070
MD
01
DW81-0000
CAREFIRST
01
T77210
UPIN
Enumeration date
03/06/2019
Last updated
03/24/2026
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