IndividualActive
Andrew Etheridge, CCA, CFO, CFM, CPED
NPI 1487246369 · Anaplastologist · Baltimore, MD
Provider details
- NPI number
- 1487246369
- Entity type
- Individual
- Primary specialty
- AnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CCA, CFO, CFM, CPED
- Sex
- Male
- Sole proprietor
- No
Practice location
601 N Caroline St Fl 6
Baltimore, MD 21287-0006
Phone: (410) 955-8215
Fax: (410) 955-1085
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Registry dates
- Enumerated
- 2021-02-11
- Last updated
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.