Individual
ADAM FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0086809
MD
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0086809
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090527135
—
DC
05
—
222852100
—
MD
Enumeration date
06/07/2010
Last updated
03/31/2021
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