Dr. George T Fantry
Gastroenterologist
22 S Greene St
Baltimore
, Maryland 21201-1544
Dr. George T Fantry
Gastroenterologist
22 S Greene St
Baltimore
, Maryland 21201-1544
(410) 328-8315
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. George T Fantry
- Po Box 64442
- Baltimore, MD
- Zip : 21264-4442
- Fax : (410) 328-8315
- Phone : (410) 328-8732
Second Address
- Dr. George T Fantry
- 22 S Greene St
- Baltimore, MD
- Zip : 21201-1544
- Fax : (410) 328-8315
- Phone : (410) 328-8732
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | D40061 | MD |
National Provider Identifier
| NPI | 1043272610 |
|---|---|
| Provider Name | Dr. George T Fantry |
| First Address | Baltimore, MD 21264-4442 |
| Second Address | Baltimore, MD 21201-1544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 12/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 069451700 | (05) | MD |
| 1043272610 | (05) | DE |
| 520626-02 & 01 | BLUE CROSS/BLUE SHIELD (01) | MD |
| A66404 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.