Primedoc Of Frederick Pa | |
400 W Seventh St Frederick MD 21701-4506 | |
(843) 237-3378 | |
(843) 237-5073 |
Full Name | Primedoc Of Frederick Pa |
---|---|
Speciality | Internal Medicine |
Location | 400 W Seventh St, Frederick, Maryland |
Authorized Official Name and Position | Robert Reynolds (PRESIDENT) |
Authorized Official Contact | 8282103260 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primedoc Of Frederick Pa Po Box 601360 Charlotte NC 28260-1360 Ph: (843) 237-3378 | Primedoc Of Frederick Pa 400 W Seventh St Frederick MD 21701-4506 Ph: (843) 237-3378 |
NPI Number | 1952367476 |
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Provider Enumeration Date | 04/24/2006 |
Last Update Date | 03/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952367476 | NPI | - | NPPES |
404823700 | Medicaid | MD | |
J585 | Other | MD | BLUE SHIELD FEDERAL |
633APR | Other | MD | BLUE SHIELD STATE |
136915 | Other | VA | BCBS |
DB5153 | Other | MD | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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