<unavail> in Frederick, MD

is a primary clinic (Clinic/center - Primary Care) in Frederick, Maryland. The current practice location for is 45 Waverley Dr, Suite O, Frederick, Maryland. For appointments, you can reach them via phone at (301) 624-5999. The mailing address for is 45 Waverley Dr, Suite O, Frederick, Maryland and phone number is (301) 624-5999.

is licensed to practice in Maryland (license number D0076463) and its NPI number is 1285006288. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (301) 624-5999.

Contact Information


	45 Waverley Dr Suite O Frederick MD 21702-4854
	(301) 624-5999
	(301) 624-5997

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	45 Waverley Dr, Frederick, Maryland
Authorized Official Name and Position	Innocent Monya-tambi (ATTENDING PHYSICIAN)
Authorized Official Contact	4433705348
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
45 Waverley Dr Suite O Frederick MD 21702-4854 Ph: (301) 624-5999	45 Waverley Dr Suite O Frederick MD 21702-4854 Ph: (301) 624-5999

NPI Details:

NPI Number	1285006288
Provider Enumeration Date	10/29/2015
Last Update Date	07/15/2016

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285006288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	D0076463 (Maryland)	Primary

Reviews and Comments

Clinic/Center in Frederick, MD

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Thomas Johnson Dr, Suite 104, Frederick, MD 21702 Phone: 301-360-0776 Fax: 301-631-8443
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 141 Thomas Johnson Dr Ste 100, Frederick, MD 21702 Phone: 301-228-9123 Fax: 855-760-5009
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 N Market St, Frederick, MD 21701 Phone: 240-397-6723 Fax: 833-992-0865
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549

- Primary Care in Frederick, MD