Individual
FREDERICK H. GUCKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MEDICAL PKWY, STE 304, ANNAPOLIS, MD 21401-3745
(410) 573-9530
(410) 573-9569
Mailing address
2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 21401-3746
(672) 047-2126
(443) 481-4151
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0052857
MD
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
D0052857
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169821Y5Z
MEDICARE
MD
01
—
169821ZDWS
MEDICARE
MD
05
—
324562401
—
MD
01
—
CY310003
BCBS
MD
Enumeration date
05/27/2005
Last updated
12/24/2024
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