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Organization

FREDERICK HEALTH MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELBY BOGGS (AVP)
(240) 315-3423
Entity
Organization

Contact information

Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 215-6310
Mailing address
1 FREDERICK HEALTH WAY, FREDERICK, MD 21701-9435

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
176B00000X
Midwife
207V00000X
Obstetrics & Gynecology Physician
Primary
207VX0000X
Obstetrics Physician
363L00000X
Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Enumeration date
12/11/2025
Last updated
12/11/2025
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