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Organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Active
Organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Active
Parent organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Authorized official
MR. SCOTT R LILLY (CEO)
(301) 663-6162
Entity
Organization
Contact information
Practice address
4014 MOUNTVILLE RD, JEFFERSON, MD 21755-7713
(301) 834-7188
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
09/24/2024
Last updated
06/23/2026
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