Provider Demographics
NPI:1497854376
Name:EREN, FER (MD)
Entity Type:Individual
Prefix:DR
First Name:FER
Middle Name:
Last Name:EREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 DREAMS POINT RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1475
Mailing Address - Country:US
Mailing Address - Phone:410-544-7307
Mailing Address - Fax:
Practice Address - Street 1:7310 RITCHIE HWY
Practice Address - Street 2:SUITE 800
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3065
Practice Address - Country:US
Practice Address - Phone:410-768-3936
Practice Address - Fax:410-766-6683
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055506207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD920900000Medicaid
MD331067659OtherTAX ID #
MD920900000Medicaid
MD331067659OtherTAX ID #