Fridberg, Marianne Fotiadis

Fridberg, Marianne Fotiadis is an individual health care provider with primary practice located at 510 Revolution St , Havre De Grace MD 21078-3318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Fridberg, Marianne Fotiadis can be contacted via phone (410) 939-5330.

Contact Information

Primary practice address
510 Revolution St Havre De Grace MD 21078-3318
Phone: (410) 939-5330
Fax: (410) 939-6204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D22433 Maryland

Profile Details

NPI number 1568489318
LBN Legal business name Fridberg, Marianne Fotiadis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568489318 NPPES
Maryland Other 4283566 AETNA PPO
Maryland Other S951 AETNA PPO
Maryland Other 897793 AETNA PPO
Maryland Other 1377684 AETNA PPO
Maryland Other 817508 AETNA PPO
Maryland Other T7960001 AETNA PPO
Maryland Other 2809440371 AETNA PPO

Popular Providers