| Digestive Disease Consultant Of Frederick Endoscopy Ste | |
|
915 Toll House Ave Ste 201 Frederick MD 21701-5901 | |
| (301) 662-7822 | |
| (301) 662-8883 |
| Full Name | Digestive Disease Consultant Of Frederick Endoscopy Ste |
|---|---|
| Speciality | Clinic/center |
| Location | 915 Toll House Ave, Frederick, Maryland |
| Authorized Official Name and Position | James Amasa Frizzell (OWNER) |
| Authorized Official Contact | 3016627822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Consultant Of Frederick Endoscopy Ste 915 Toll House Ave Ste 201 Frederick MD 21701-5901 Ph: (301) 662-7822 | Digestive Disease Consultant Of Frederick Endoscopy Ste 915 Toll House Ave Ste 201 Frederick MD 21701-5901 Ph: (301) 662-7822 |
| NPI Number | 1386667681 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386667681 | NPI | - | NPPES |
| 5149501 | Other | AETNA | |
| 235932 | Other | MAMSI | |
| 320271200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A1141 (Maryland) | Primary |
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