Individual
DR. FERNANDO DANIELS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 CHARLES ST, LA PLATA, MD 20646-5930
(301) 609-4000
Mailing address
3301 SHORTRIDGE LN, BOWIE, MD 20721-2576
(301) 249-0604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0042186
MD
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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