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Individual

M FRYDENBORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-2014
Mailing address
14750 HYSON SCHOOL RD, STEWARTSTOWN, PA 17363-9427
(717) 993-2008
(717) 706-1060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D27315
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301141100
MD
01
60609101
BLUE CROSS
MD
Enumeration date
06/02/2006
Last updated
07/08/2007
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