# FREDERICK J SAUERBURGER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588660385
- **Authorized official:** DR. FREDERICK J SAUERBURGER MD (PRESIDENT)
- **Authorized official phone:** (301) 843-3120

## Contact information

- **Practice address:** 11345 PEMBROOKE SQUARE, STE 105, WALDORF, MD 20603
- **Practice address phone:** (301) 843-3120
- **Practice address fax:** (301) 645-4740
- **Mailing address:** 11345 PEMBROOKE SQUARE, STE 105, WALDORF, MD 20603
- **Mailing address phone:** (301) 843-3120
- **Mailing address fax:** (301) 645-4740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 212291000 | MD | — |
| 207W00000X | Ophthalmology Physician | KN29 | MD | Yes |

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 212291000 | — | MD |
| 01 | — | 8185 | CAREFIRST OF DC | DC |
| 01 | — | KN29FR | CAREFIRST OF MD | MD |