| |
238 W Patrick St Frederick MD 21701-6945 | |
(301) 698-5050 | |
(301) 698-4652 |
Full Name | |
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Speciality | Internal Medicine |
Location | 238 W Patrick St, Frederick, Maryland |
Authorized Official Name and Position | Laura W Thomas (PRACTICE MANAGER) |
Authorized Official Contact | 3016985050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1052 Frederick MD 21702-0052 Ph: (301) 698-5050 | 238 W Patrick St Frederick MD 21701-6945 Ph: (301) 698-5050 |
NPI Number | 1689916892 |
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Provider Enumeration Date | 03/26/2013 |
Last Update Date | 08/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689916892 | NPI | - | NPPES |
284331500 | Medicaid | MD | |
118502100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0056184 (Maryland) | Primary |
207R00000X | Internal Medicine | D0037197 (Maryland) | Secondary |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 |