Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
Monocacy Health Partners LLC, Center for Chest Disease, Frederick Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Authorized official
MICHELLE MAHAN (SR VP AND CFO)
(240) 566-3355
Entity
Organization
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(301) 694-5861
(301) 694-0927
Mailing address
501 W 7TH ST, FREDERICK, MD 21701-4586
(301) 694-5861
(301) 694-0927
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
01/24/2020
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