Organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Active
Parent organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Authorized official
SCOTT R LILLY (CEO)
(301) 663-6162
Entity
Organization
Contact information
Practice address
9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701-6711
(240) 913-5950
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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