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
45 THOMAS JOHNSON DR STE 212, FREDERICK, MD 21702-4490
(301) 694-7600
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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