Patricia C Frye, Md Llc | |
6930 Carroll Ave Suite 412 Takoma Park MD 20912-4423 | |
(301) 328-3045 | |
(844) 213-8973 |
Full Name | Patricia C Frye, Md Llc |
---|---|
Speciality | Clinic/Center |
Location | 6930 Carroll Ave, Takoma Park, Maryland |
Authorized Official Name and Position | Patricia Frye (PROPRIETOR) |
Authorized Official Contact | 3013283045 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Patricia C Frye, Md Llc 6930 Carroll Ave Suite 412 Takoma Park MD 20912-4423 Ph: (301) 328-3045 | Patricia C Frye, Md Llc 6930 Carroll Ave Suite 412 Takoma Park MD 20912-4423 Ph: (301) 328-3045 |
NPI Number | 1558710855 |
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Provider Enumeration Date | 06/07/2016 |
Last Update Date | 06/07/2016 |
Medicare PECOS PAC ID | 6901199165 |
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Medicare Enrollment ID | O20160726000481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558710855 | NPI | - | NPPES |
1295106078 | Other | MD | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | D0028622 (Maryland) | Primary |
Provider Name | Patricia C Frye |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295106078 PECOS PAC ID: 7719270974 Enrollment ID: I20160726000588 |
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