Individual
SELENA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7190 CRESTWOOD BOULEVARD, FREDERICK, MD 21703-3901
(240) 529-1765
(240) 529-1760
Mailing address
7190 CRESTWOOD BLVD, FREDERICK, MD 21703-7314
(240) 529-1765
(240) 529-1760
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D71998
MD
390200000X
Student in an Organized Health Care Education/Training Program
P21883
MD
Other
Enumeration date
12/14/2007
Last updated
02/07/2022
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