Healthcare Provider Details

I. General information

NPI: 1861620429
Provider Name (Legal Business Name): ERROL LAMONT FIELDS MD, PHD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N WOLFE ST
BALTIMORE MD
21287-0011
US

IV. Provider business mailing address

PO BOX 64316
BALTIMORE MD
21264-4316
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-2795
  • Fax:
Mailing address:
  • Phone: 410-955-2795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD75087
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberD75087
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberD75087
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: