Organization
GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RIFKIN M.D. (PHYSICIAN-OWNER)
(301) 663-9440
Entity
Organization
Contact information
Practice address
85 THOMAS JOHNSON CT, SUITE B, FREDERICK, MD 21702-4331
(301) 663-9440
(301) 663-4602
Mailing address
85 THOMAS JOHNSON CT, SUITE B, FREDERICK, MD 21702-4331
(301) 663-9440
(301) 663-4602
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KG87
CAREFIRST BLUE CROSS/SHIE
MD
Enumeration date
04/12/2006
Last updated
08/22/2020
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