| |
501 W 7th St Ste 103, Frederick, MD 21701-5095 | |
(240) 215-1454 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 501 W 7th St Ste 103, Frederick, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720496573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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400 W 7th St, Frederick, MD 21701-4506 Ph: (240) 215-1454 | 501 W 7th St Ste 103, Frederick, MD 21701-5095 Ph: (240) 215-1454 |