DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELEANOR COURT FAHERTY, M.D.

Active

General Surgery · WALDORF, MD

Registration Details

NPI Number
1265600522
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2008 (18.232162020661 yrs)
Last Updated
Mar 17, 2018
Licenses
D74200 (MD)
0101242982 (VA)

Practice Information

Address
11340 PEMBROOKE SQ STE 202
WALDORF, MD, 206034808
Browse MD providers · Browse ZIP 20603
Phone
4103287320
Fax
4103285919
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in WALDORF, MD

Name Credential NPI
DR. ABDEL AZIZ BASHA EL SAID M.D. 1881606770
DR. PRADIP SAHDEV MD FACS FICS 1508932666
TUSHAR SAMDANI MD 1639459753
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.