Individual
DIANE S. FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
68 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4300
(301) 694-5292
(301) 694-2319
Mailing address
PO BOX 1924, FREDERICK, MD 21702-0924
(301) 694-5292
(301) 694-2319
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
D0040701
MD
Other
Enumeration date
11/30/2007
Last updated
12/18/2007
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