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1184635997
TERRI DIFAZIO
COLUMBIA, MD
NPI
1184635997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MD D0050453)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- TERRI DIFAZIO MD
5755 CEDAR LN HCGH NICU
COLUMBIA, MD 21044-2912
Phone number: 410-740-7557
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Mailing Address
-- TERRI DIFAZIO MD
PO BOX 64208
BALTIMORE, MD 21264-4208
Phone number: 443-828-0442
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