Provider Demographics
NPI:1740305895
Name:MATERNAL FETAL MEDICINE ASSOCIATES OF MARYLAND
Entity type:Organization
Organization Name:MATERNAL FETAL MEDICINE ASSOCIATES OF MARYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAMERSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-315-2227
Mailing Address - Street 1:15005 SHADY GROVE RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6340
Mailing Address - Country:US
Mailing Address - Phone:301-315-2227
Mailing Address - Fax:301-315-2169
Practice Address - Street 1:15005 SHADY GROVE RD
Practice Address - Street 2:SUITE 340
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6340
Practice Address - Country:US
Practice Address - Phone:301-315-2227
Practice Address - Fax:301-315-2169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050787207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF83669Medicare UPIN