| Old Fashion Medicine, Inc | |
|
95 Gatepost Lane Apartment 1b Frederick MD 21701 | |
| (240) 409-3348 | |
| Not Available |
| Full Name | Old Fashion Medicine, Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 95 Gatepost Lane, Frederick, Maryland |
| Authorized Official Name and Position | John Allen Reilly (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2404093348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Fashion Medicine, Inc 16722 Annandale Rd Emmitsburg MD 21727-8908 Ph: (240) 888-5023 | Old Fashion Medicine, Inc 95 Gatepost Lane Apartment 1b Frederick MD 21701 Ph: (240) 409-3348 |
| NPI Number | 1649775933 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649775933 | NPI | - | NPPES |
| 2853027000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | D0054749 (Maryland) | Primary |
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