# FREDERICK NEONATAL SERVICES SERIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frederick Memorial Neonatal Associates, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154331577
- **Authorized official:** DR. MARILEA K MILLER M.D. (DIRECTOR)
- **Authorized official phone:** (240) 566-3330

## Contact information

- **Practice address:** 400 W 7TH ST, FMH SPECIAL CARE NURSERY, FREDERICK, MD 21701-4506
- **Practice address phone:** (240) 566-3330
- **Mailing address:** PO BOX 62080, BALTIMORE, MD 21264-2080
- **Mailing address phone:** (866) 846-9543
- **Mailing address fax:** (703) 289-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |
| 363LN0000X | Neonatal Nurse Practitioner | — | NULL | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 09/11/2025
