Provider Demographics
NPI:1215976600
Name:FOLGUERAS, ANNETTE G (MD)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:G
Last Name:FOLGUERAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6790 DORSEY LN
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797-9204
Mailing Address - Country:US
Mailing Address - Phone:410-340-3144
Mailing Address - Fax:
Practice Address - Street 1:8900 COLUMBIA 100 PKWY STE E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2336
Practice Address - Country:US
Practice Address - Phone:443-221-4444
Practice Address - Fax:410-730-7725
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0015448207L00000X
PAMD047231L207L00000X
MDD0047031207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCA8702OtherRAILROAD MEDICARE GROUP
MD699940900Medicaid
MDCA8702Medicare PIN
MDE086Medicare PIN
MD699940900Medicaid
MDF89488Medicare UPIN