Individual
HOLLY MARIE RATAICZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
75 THOMAS JOHNSON DR, FREDERICK, MD 21702-4895
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 215-6310
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0102204164
VA
207Y00000X
Otolaryngology Physician
Primary
H95181
MD
Other
Enumeration date
06/17/2013
Last updated
09/26/2022
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