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NPI Code Detail

MEDICARE: DAVID M. FENIG M.D.

MEDICARE: DAVID M. FENIG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianD0067641MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437318557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M. FENIG M.D.
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number : 443-738-2872
Fax Number : 443-738-2713
Provider Business Practice Location Address
First Line : 10710 CHARTER DR STE 230
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3259
Country : US
Telephone Number : 410-772-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 05/27/2025

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Directions to “ DAVID M. FENIG M.D.” Practice Location

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