Individual
MARY E FONTANA-PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7939 HONEYGO BLVD, SUITE 219, NOTTINGHAM, MD 21236-4931
(410) 931-0404
(410) 931-0405
Mailing address
5430 CAMPBELL BLVD STE 103, WHITE MARSH, MD 21162-5503
(410) 933-9404
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
D0069408
MD
Other
Enumeration date
12/19/2005
Last updated
01/21/2021
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