Organization
OBGYN CENTER OF FREDERICK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN CHEN MD (PRESIDENT)
(301) 663-4545
Entity
Organization
Contact information
Practice address
97 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702-4373
(301) 663-4545
(301) 663-1709
Mailing address
97 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702-4373
(301) 663-4545
(301) 663-1709
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187L
MEDICARE GROUP PROVIDER NUMBER
MD
Enumeration date
11/17/2005
Last updated
02/18/2009
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