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Individual

DR. MICHAEL FADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302 COLLINS AVE, HURLOCK, MD 21643
(410) 943-8763
(410) 943-8244
Mailing address
PO BOX 660, 301 RANDOLPH ST, DENTON, MD 21629
(410) 479-4306
(410) 479-1714

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D26388
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031865
PRIORITY PARTNERS
MD
01
339268
MAMSI/ALLIANCE
MD
01
41332103
CAREFIRST BC/BS RENDERING
MD
01
4533260
AETNA
MD
01
521116591
MARYLAND PHYSICIANS CARE
MD
01
6104182
CIGNA
MD
01
683716
COVENTRY
MD
01
735683
NCPPO
MD
05
784381000
MD
01
8118232
OPTIMUM CHOICE/MDIPA
MD
01
P16368
CAREFIRST BC/BS POS
MD
01
T5880025
CF BC/BS GRP/GHMSI/BL CHO
MD
Enumeration date
02/22/2006
Last updated
06/30/2008
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