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Individual

DR. TARYN FORTUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5454 WISCONSIN AVE, SUITE 1720, CHEVY CHASE, MD 20815-6901
(301) 562-7200
Mailing address
8555 16TH ST, SUITE 310, SILVER SPRING, MD 20910-2816
(301) 562-7200

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0071330
MD
390200000X
Student in an Organized Health Care Education/Training Program
TRN17513
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D0071330
STATE MEDICAL LICENSE
MD
Enumeration date
05/31/2007
Last updated
11/26/2012
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