Provider Demographics
NPI:1861503641
Name:PEGUES, ROBERT FIELDING (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FIELDING
Last Name:PEGUES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:013-409-0273
Practice Address - Street 1:100 WEST RD
Practice Address - Street 2:SUITE 404
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2331
Practice Address - Country:US
Practice Address - Phone:410-832-5511
Practice Address - Fax:410-832-5560
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-11-29
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Provider Licenses
StateLicense IDTaxonomies
MDD0037944207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD369111YYKMedicare PIN
MD994LMedicare UPIN