Provider Demographics
NPI:1700951290
Name:FLEMING, NORENE S (MD)
Entity Type:Individual
Prefix:DR
First Name:NORENE
Middle Name:S
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12164 CENTRAL AVE 220
Mailing Address - Street 2:
Mailing Address - City:MICTHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721
Mailing Address - Country:US
Mailing Address - Phone:301-249-2800
Mailing Address - Fax:301-249-1322
Practice Address - Street 1:12164 CENTRAL AVE STE 220
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1903
Practice Address - Country:US
Practice Address - Phone:301-249-2800
Practice Address - Fax:301-249-1322
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035998174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist