# FREDERICK HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDERICK HEALTH MEDICAL GROUP LLC
- **Other names:** Monocacy Health Partners LLC, Center for Chest Disease, Frederick Health Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104194778
- **Legal business name:** FREDERICK HEALTH MEDICAL GROUP LLC
- **Authorized official:** MICHELLE MAHAN (SR VP AND CFO)
- **Authorized official phone:** (240) 566-3355

## Contact information

- **Practice address:** 1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
- **Practice address phone:** (301) 694-5861
- **Practice address fax:** (301) 694-0927
- **Mailing address:** 501 W 7TH ST, FREDERICK, MD 21701-4586
- **Mailing address phone:** (301) 694-5861
- **Mailing address fax:** (301) 694-0927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 01/24/2020