# NISENFELD & CHILTON, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Associates of Frederick
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447519491
- **Authorized official:** QUINTEN DAVIS (COO)
- **Authorized official phone:** (301) 694-8311

## Contact information

- **Practice address:** 86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
- **Practice address phone:** (301) 694-8311
- **Practice address fax:** (301) 694-3537
- **Mailing address:** 184 THOMAS JOHNSON DR, STE. 104, FREDERICK, MD 21702-4360
- **Mailing address phone:** (301) 694-8311
- **Mailing address fax:** (301) 694-7941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 05/11/2012
