Individual ProviderMary H FangInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10931 Martingale Ct, Potomac, MD 20854-1500(301) 983-3795PECOS EnrollmentBased on the most recent information from CMS, provider Mary H Fang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1205977915Provider TypeIndividualFull NameFang, Mary HGenderFemaleSole ProprietorYesEnumeration Date2/8/2007Last Updated7/29/2008Contact InformationPractice LocationPractice Address10931 Martingale Ct, Potomac, MD 20854-1500Phone(301) 983-3795FaxUnlisted FaxMailing LocationMailing Address10931 Martingale Ct, Potomac, MD 20854-1500Phone(301) 983-3795FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD23448Maryland