Individual
AMANDA M FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28438 MARLBORO AVE, EASTON, MD 21601-2732
(410) 822-2440
Mailing address
6401 BENT PINE RD, WILLARDS, MD 21874-1172
(443) 754-1043
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A5381
MD
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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