Individual provider · Type 1 NPI
Mary E. Fontana-Penn, MD
Allergy Physician · Nottingham, MD
NPI number
1750367074
Active
Practice location
7939 Honeygo Blvd, Suite 219
Nottingham, MD 21236-4931
Fax (410) 931-0405
Mailing address
5430 Campbell Blvd Ste 103
White Marsh, MD 21162-5503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | D0069408 (MD) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
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About NPI 1750367074
Mary E. Fontana-Penn, MD's National Provider Identifier is 1750367074, issued on Dec 19, 2005. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Nottingham, MD. The record was last updated on Jan 21, 2021.