Organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Active
Parent organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Authorized official
SCOTT R LILLY (CEO)
(301) 663-6162
Entity
Organization
Contact information
Practice address
10260 SILVERSIDE ST STE 100, IJAMSVILLE, MD 21754-9174
(301) 682-4100
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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