| Frederick Family Medical Clinic | |
|
45 Waverley Dr Suite O Frederick MD 21702-4854 | |
| (301) 624-5999 | |
| (301) 624-5997 |
| Full Name | Frederick Family Medical Clinic |
|---|---|
| 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 | Practice Location Address |
|---|---|
| Frederick Family Medical Clinic 45 Waverley Dr Suite O Frederick MD 21702-4854 Ph: (301) 624-5999 | Frederick Family Medical Clinic 45 Waverley Dr Suite O Frederick MD 21702-4854 Ph: (301) 624-5999 |
| NPI Number | 1285006288 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 07/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285006288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0076463 (Maryland) | Primary |
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