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Fontaine Ewell, PHD

NPI 1528123668 · on the registry since 2006 · sole proprietor

Practice

Address
711 W 40th St
The Rotunda Suite 456b
Baltimore, MD 21211
Phone
(410) 274-5911
Fax
(410) 235-9339
Organisation at this address
Ak Dmd Llc
Walgreen Co
Cpe Clinic Llc
Sue Brown, Llc
Ati Holding Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland