Healthcare Provider Details

I. General information

NPI: 1740305895
Provider Name (Legal Business Name): MATERNAL FETAL MEDICINE ASSOCIATES OF MARYLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15005 SHADY GROVE RD SUITE 340
ROCKVILLE MD
20850-6340
US

IV. Provider business mailing address

15005 SHADY GROVE RD SUITE 340
ROCKVILLE MD
20850-6340
US

V. Phone/Fax

Practice location:
  • Phone: 301-315-2227
  • Fax: 301-315-2169
Mailing address:
  • Phone: 301-315-2227
  • Fax: 301-315-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberD0050787
License Number StateMD

VIII. Authorized Official

Name: DR. SHERI LYNN HAMERSLEY
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 301-315-2227