Individual
DR. FREDERICK JEROME CORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 RHODE ISLAND AVE, BRENTWOOD, MD 20722-1435
(301) 887-1840
Mailing address
1206 GOLF COURSE DR, MITCHELLVILLE, MD 20721-2325
(301) 446-7294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0025675
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168581300
—
MD
01
—
5217055205
FIN
—
Enumeration date
02/01/2007
Last updated
07/08/2007
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