Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
Monocacy Health Partners LLC, Frederick Health Medical Group, Monocacy Health Partners Pain and Palliative Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Authorized official
MICHELLE K MAHAN (SR. VP AND CFO)
(240) 566-3355
Entity
Organization
Contact information
Practice address
516 TRAIL AVE, FREDERICK, MD 21701-4942
(240) 566-3030
(240) 566-3040
Mailing address
516 TRAIL AVE, FREDERICK, MD 21701-4942
(240) 566-3030
(240) 566-3040
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
01/24/2020
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