Organization
MENOCAL MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO JOSE MENOCAL MD (PRESIDENT)
(240) 215-1138
Entity
Organization
Contact information
Practice address
1050 KEY PKWY STE 102, FREDERICK, MD 21702-4496
(240) 215-1138
(240) 215-1140
Mailing address
1050 KEY PKWY STE 102, FREDERICK, MD 21702-4496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D31912
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532403300
—
MD
Enumeration date
10/18/2006
Last updated
04/11/2025
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