Dr Eleanor Court Faherty, MD | |
11340 Pembrooke Sq Ste 202, Waldorf, MD 20603-4808 | |
(410) 328-7320 | |
(410) 328-5919 |
Full Name | Dr Eleanor Court Faherty |
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Gender | Female |
Speciality | Surgery |
Location | 11340 Pembrooke Sq Ste 202, Waldorf, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265600522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D74200 (Maryland) | Primary |
208600000X | Surgery | 0101242982 (Virginia) | Secondary |
Entity Name | University Of Maryland Community Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
Entity Name | University Of Maryland Surgical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962417634 PECOS PAC ID: 1658262472 Enrollment ID: O20040621000583 |
Mailing Address | Practice Location Address |
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Dr Eleanor Court Faherty, MD Po Box 64226, Baltimore, MD 21264-7559 Ph: (410) 328-7320 | Dr Eleanor Court Faherty, MD 11340 Pembrooke Sq Ste 202, Waldorf, MD 20603-4808 Ph: (410) 328-7320 |
Dr. Pradip Sahdev, MD FACS FICS Surgery Medicare: Accepting Medicare Assignments Practice Location: 3450 Old Washington Road Ste 202, Waldorf, MD 20602 Phone: 301-645-3590 Fax: 301-705-1941 | |
Tushar Samdani, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-705-7870 Fax: 301-870-8832 | |
Dr. Abdel Aziz Basha El Said, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3261 Old Washington Rd, Suite 1012, Waldorf, MD 20602 Phone: 301-843-9060 Fax: 301-645-3092 |