| Premise Health Of Maryland Medical P C | |
|
7407 Willow Rd Frederick MD 21702-2500 | |
| (301) 624-5270 | |
| (334) 625-4520 |
| Full Name | Premise Health Of Maryland Medical P C |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7407 Willow Rd, Frederick, Maryland |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Maryland Medical P C 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Maryland Medical P C 7407 Willow Rd Frederick MD 21702-2500 Ph: (301) 624-5270 |
| NPI Number | 1053087338 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053087338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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