Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Fatuzzo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780371625

Mia Fatuzzo, MD is a Student in an Organized Health Care Education/Training Program in Baltimore, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 S Greene St Rm S11C
Baltimore, MD 21201-1544
Phone: (410) 328-2542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780371625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2023
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

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