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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
SHELBY BOGGS (VICE PRESIDENT)
(443) 721-4452
Entity
Organization
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(301) 662-8477
Mailing address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(301) 662-8477
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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