| Maryland Medical Services Llc | |
|
1090 W Patrick St Unit 2a Frederick MD 21703-3967 | |
| (301) 663-0757 | |
| (301) 662-0725 |
| Full Name | Maryland Medical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1090 W Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Maritza Yeron (OFFICE MANAGER) |
| Authorized Official Contact | 3016620757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Medical Services Llc 1090 W Patrick St Unit 2a Frederick MD 21703-3967 Ph: (301) 663-0757 | Maryland Medical Services Llc 1090 W Patrick St Unit 2a Frederick MD 21703-3967 Ph: (301) 663-0757 |
| NPI Number | 1306180013 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Medicare PECOS PAC ID | 2567617251 |
|---|---|
| Medicare Enrollment ID | O20130304000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306180013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D41717 (Maryland) | Primary |
| Provider Name | Richard G Yeron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851499784 PECOS PAC ID: 1850461492 Enrollment ID: I20080609000321 |
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