Organization
FERTILITY CENTER OF MARYLAND, PA
Active
Organization
FERTILITY CENTER OF MARYLAND, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO LUIS PADILLA M.D. (PRESIDENT)
(410) 296-6400
Entity
Organization
Contact information
Practice address
110 WEST RD, SUITE 102, TOWSON, MD 21204-2363
(410) 296-6400
(410) 296-6405
Mailing address
110 WEST RD, SUITE 102, TOWSON, MD 21204-2363
(410) 296-6400
(410) 296-6405
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
D0035237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K867
MEDICARE ID
MD
Enumeration date
08/14/2014
Last updated
08/14/2014
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