Organization
FAIRHILL FAMILY MEDICINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNI ROBERTS D.O. (PHYSICIAN)
(410) 620-7260
Entity
Organization
Contact information
Practice address
361 FAIR HILL DR, ELKTON, MD 21921-2512
(410) 620-7260
(410) 620-7262
Mailing address
361 FAIR HILL DR, ELKTON, MD 21921-2512
(410) 620-7260
(410) 620-7262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189CFA
CAREFIRST GROUP NUMBER
MD
01
—
DE0145
MCR RAILROAD GROUP
MD
Enumeration date
05/23/2006
Last updated
08/22/2020
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