Organization
DIGESTIVE DISEASE CONSULTANT OF FREDERICK ENDOSCOPY STE
Active
Organization
DIGESTIVE DISEASE CONSULTANT OF FREDERICK ENDOSCOPY STE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES AMASA FRIZZELL MD (OWNER)
(301) 662-7822
Entity
Organization
Contact information
Practice address
915 TOLL HOUSE AVE, STE 201, FREDERICK, MD 21701-5901
(301) 662-7822
(301) 662-8883
Mailing address
915 TOLL HOUSE AVE, STE 201, FREDERICK, MD 21701-5901
(301) 662-7822
(301) 662-8883
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A1141
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235932
MAMSI
—
05
—
320271200
—
MD
01
—
5149501
AETNA
—
Enumeration date
07/26/2006
Last updated
07/14/2008
Update your record
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