Organization
MODERN MED CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN RICHARDS ND, PA-C (MEDICAL DIRECTOR)
(480) 382-5669
Entity
Organization
Contact information
Practice address
1611 ROSEMONT AVE, FREDERICK, MD 21702-4134
(443) 338-0036
(240) 363-0007
Mailing address
5257 BUCKEYSTOWN PIKE # 482, FREDERICK, MD 21704-7535
(443) 338-0036
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
04/08/2025
Last updated
07/13/2025
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