MEDICARE: DR. NORENE S FLEMING MD

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
1	174400000X	Specialist	D0035998	MD

General Provider Information

NPI Number	:	1700951290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORENE S FLEMING MD

Provider Business Mailing Address
First Line	:	12164 CENTRAL AVE 220
Second Line	:
City	:	MICTHELLVILLE
State	:	MD
Zip	:	20721
Country	:	US
Telephone Number	:	301-249-2800
Fax Number	:	301-249-1322

Provider Business Practice Location Address
First Line	:	12164 CENTRAL AVE STE 220
Second Line	:
City	:	MITCHELLVILLE
State	:	MD
Zip	:	20721-1903
Country	:	US
Telephone Number	:	301-249-2800
Fax Number	:	301-249-1322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	07/08/2007

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