Provider Demographics
NPI:1982851689
Name:FLEMING, MARY E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1330 POWELL ST STE 510
Mailing Address - Street 2:FORNANCE PHYSICIAN SERVICES, INC.
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3352
Mailing Address - Country:US
Mailing Address - Phone:610-270-2771
Mailing Address - Fax:
Practice Address - Street 1:1330 POWELL ST STE 510
Practice Address - Street 2:FORNANCE PHYSICIAN SERVICES, INC.
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3352
Practice Address - Country:US
Practice Address - Phone:610-270-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY53350207V00000X
PAMD443181207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102624268Medicaid