# FREDERICK ENT GROUP P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** trade name: FREDERICK ENT GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922132281
- **Authorized official:** JONG YOON M.D. (PRESIDENT)
- **Authorized official phone:** (301) 698-2440

## Contact information

- **Practice address:** 82 THOMAS JOHNSON CT., FREDERICK, MD 21702-4348
- **Practice address phone:** (301) 698-2440
- **Practice address fax:** (301) 846-0892
- **Mailing address:** 82 THOMAS JOHNSON CT., FREDERICK, MD 21702-4348
- **Mailing address phone:** (301) 698-2440
- **Mailing address fax:** (301) 846-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 03/12/2025