Fennell, Maureen C

Fennell, Maureen C is an individual health care provider with primary practice located at 15005 Shady Grove Rd Suite 340, Rockville MD 20850-6340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Fennell, Maureen C can be contacted via phone (240) 238-3760.

Contact Information

Primary practice address
15005 Shady Grove Rd Suite 340 Rockville MD 20850-6340
Phone: (240) 238-3760
Fax: (240) 238-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D0044928 Maryland

Profile Details

NPI number 1750343075
LBN Legal business name Fennell, Maureen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750343075 NPPES
District of Columbia Other 0014 BCBS OF DC GROUP NUMBER
District of Columbia MEDICAID 699545401 BCBS OF DC GROUP NUMBER
District of Columbia Other H830 BCBS OF DC GROUP NUMBER
District of Columbia Other 4787 BCBS OF DC GROUP NUMBER
District of Columbia Other 61390003 BCBS OF DC GROUP NUMBER

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