DR. MARIANNE FOTIADIS FRIDBERG M.D. NPI 1568489318

NPI Information

NPI: 1568489318
Provider Name: DR. MARIANNE FOTIADIS FRIDBERG, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
510 REVOLUTION ST
HAVRE DE GRACE, MD
ZIP 21078
Phone: (410) 939-5330
Get Directions

DR. Marianne Fotiadis Fridberg, M.D. is an adolescent medicine pediatrics in Havre De Grace, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Marianne Fotiadis Fridberg, M.D. NPI is 1568489318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 REVOLUTION ST
HAVRE DE GRACE, MD
ZIP 21078-318
Phone: (410) 939-5330
Fax: (410) 939-6204

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	D22433	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	817508	OTHER	MARYLAND	MAMSI
2	S951	OTHER	MARYLAND	BLUECROSS/BLUESHIELD
3	1377684	OTHER	MARYLAND	FIRST HEALTH
4	D31441	MEDICARE UPIN	MARYLAND
5	4283566	OTHER	MARYLAND	AETNA PPO
6	T7960001	OTHER	MARYLAND	CAREFIRST BLUECHOICE
7	897793	OTHER	MARYLAND	AETNA HMO
8	2809440371	OTHER	MARYLAND	COVENTRY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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