Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | D74625 | MD |
NPI | 1194903138 |
---|---|
Provider Name | Mrs. Amy Marie Fleming |
First Address | Timonium, MD 21093 |
Second Address | Timonium, MD 21093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2008 |
Last Update Date | 12/04/2017 |