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Organization
EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK
Active
Organization
EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB MASSEY M.D. (MANAGING PHYSICIAN)
(540) 371-1226
Entity
Organization
Contact information
Practice address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
Mailing address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD7365
MEDICARE RAILROAD
VA
Enumeration date
10/04/2006
Last updated
06/16/2008
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