Individual
JOHN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4509
(301) 228-9123
Mailing address
141 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4509
(240) 696-3927
(301) 228-9136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0102911
MD
207R00000X
Internal Medicine Physician
H0102911
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
07/07/2025
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