Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | D29253 | MD |
NPI | 1184745671 |
---|---|
Provider Name | Dr. William Paul Fabbri |
First Address | Baltimore, MD 21044-4238 |
Second Address | Baltimore, MD 21044-4238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |