# FREDERICK HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frederick Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922822402
- **Authorized official:** JENNY FITZPATRICK (DIRECTOR, PROFESSIONAL FEES REVENUE)
- **Authorized official phone:** (240) 439-8774

## Contact information

- **Practice address:** 75 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4895
- **Practice address phone:** (240) 215-6310
- **Mailing address:** 400 W 7TH ST, FREDERICK, MD 21701-4506

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2024
- **Last updated:** 03/11/2026