Individual
FREDERICK S BADER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19134 CLOVER MEADOW PL, GAITHERSBURG, MD 20879-3141
(301) 540-1188
Mailing address
PO BOX 2993, GAITHERSBURG, MD 20886-2993
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-003178-L
PA
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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