Organization
FREDERICK CARDIOVASCULAR CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MERRILL SUMMERS DO (PRESIDENT)
(301) 682-3370
Entity
Organization
Contact information
Practice address
97 THOMAS JOHNSON DR, STE 100, FREDERICK, MD 21702-4379
(301) 682-3370
(301) 682-3377
Mailing address
97 THOMAS JOHNSON DR, STE 100, FREDERICK, MD 21702-4379
(301) 682-3370
(301) 682-3377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H0039804
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F53FR
BCBS
MD
01
—
3001500
AETNA HMO
—
01
—
4126583
AETNA NON HMO
—
01
—
42222
MAMSI
—
01
—
G4370001
BCBS
DC
Enumeration date
11/03/2005
Last updated
08/22/2020
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