Organization
EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB MASSEY M.D. (MANAGING PHYSICIAN)
(540) 371-1226
Entity
Organization
Contact information
Practice address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
Mailing address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD7365
MEDICARE RAILROAD
VA
Enumeration date
10/04/2006
Last updated
06/16/2008
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