Gary Ross Fennel is a Surgical in Rockville, Maryland. Gary Ross Fennel practices all healthcare services and medical treatments related to Surgical. The NPI Number for Gary Ross Fennel is 1295889418. The last update date is 2007-07-08.
Gary Ross Fennel's current location address is 15714 Thistlebridge Dr, Rockville, Maryland. You can contact this provider via phone number 3019245388 and fax number 3018916313. The mailing address for Gary Ross Fennel is 15714 Thistlebridge Dr, Rockville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Ross Fennel |
|---|---|
| Address | 15714 Thistlebridge Dr, Rockville, Maryland |
| Phone Number | 3019245388 |
| Fax Number | 3018916313 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1295889418 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15714 Thistlebridge Dr |
|---|---|
| City | Rockville |
| State | Maryland (MD) |
| Post Code | 208533226 |
| Phone Number | 3019245388 |
| Fax Number | 3018916313 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | C0000622 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique 10-digit identifier code assigned to Gary Ross Fennel by the Centers for Medicare & Medicaid Services?
The Gary Ross Fennel has been issued the NPI (National Provider Identifier) 1295889418 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Gary Ross Fennel's physical address?
The Gary Ross Fennel is physically located at 15714 Thistlebridge Dr, in the city of Rockville, MD, with the postal code 208533226.
What is the Gary Ross Fennel's specialty and taxonomy code?
The Gary Ross Fennel's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Gary Ross Fennel receive its 1295889418 assignment from the Centers for Medicare & Medicaid Services?
The Gary Ross Fennel was assigned its 1295889418 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the information related to Gary Ross Fennel most recently updated or refreshed?
The details pertaining to the Gary Ross Fennel, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.