Individual
DR. TIMOTHY PAUL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 670, ANNAPOLIS, MD 21401-3046
(443) 481-1150
(410) 224-0065
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-5047
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0056281
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510902700
—
MD
01
—
K6400015
CAREFIRST
—
Enumeration date
06/16/2006
Last updated
10/07/2014
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