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
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