Individual
DR. FREDERICK J SAUERBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PA
Contact information
Practice address
11345 PEMBROOKE SQ, STE 105, WALDORF, MD 20603-4804
(301) 843-3120
(301) 645-4740
Mailing address
11345 PEMBROOKE SQ, STE 105, WALDORF, MD 20603-4804
(301) 843-3120
(301) 645-4740
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D20631
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251901100
—
MD
01
—
27589
MARYLAND MEDICAID MCO
MD
01
—
406183528A
RR MEDICARE
MD
01
—
42041101
CAREFIRST
MD
01
—
8185-0001
CAREFIRST
DC
01
—
831314
FIRST HEALTH PPO
—
Enumeration date
06/08/2005
Last updated
12/16/2009
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