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Individual

MARY ELIZABETH WROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
606 DUTCHMANS LN, EASTON, MD 21601-3346
(410) 763-8272
(410) 763-6014
Mailing address
606 DUTCHMANS LN, EASTON, MD 21601-3346
(410) 763-8272
(410) 763-6014

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0059767
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124664
PRIORITY PARTNERS
MD
01
1315279
CIGNA
01
189116
COVENTRY
DE
01
614339
NCPPO
01
61890602
CAREFIRST
MD
01
93721
AMERIGROUP
MD
01
W4320006
BLUE CHOICE
DC
Enumeration date
12/28/2006
Last updated
07/08/2007
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