# FREDERICK PRIMARY CARE ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FREDERICK PRIMARY CARE ASSOCIATES, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790511053
- **Legal business name:** FREDERICK PRIMARY CARE ASSOCIATES, P.A.
- **Authorized official:** MR. SCOTT R LILLY (CEO)
- **Authorized official phone:** (301) 663-6162

## Contact information

- **Practice address:** 610 9TH AVE, BRUNSWICK, MD 21716-1828
- **Practice address phone:** (301) 834-7188
- **Mailing address:** 610 SOLAREX CT, FREDERICK, MD 21703-8624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |

## Other

- **Enumeration date:** 09/12/2024
- **Last updated:** 06/23/2026