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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