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Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY FITZPATRICK (DIRECTOR, PROFESSIONAL FEES REVENUE)
(240) 439-8774
Entity
Organization
Contact information
Practice address
504 E RIDGEVILLE BLVD, MOUNT AIRY, MD 21771-5942
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
04/17/2024
Last updated
03/11/2026
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