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Organization

FREDERICK HEALTH MEDICAL GROUP LLC

Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
Frederick Urology Specialists, Frederick Health Medical Group, Monocacy Health Partners LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Authorized official
MICHELLE K MAHAN (SR. VP AND CFO)
(240) 566-3355
Entity
Organization

Contact information

Practice address
1562 OPOSSUMTOWN PIKE STE 301, FREDERICK, MD 21702-4337
(301) 663-4774
(301) 695-1364
Mailing address
900 TOLL HOUSE AVE, FREDERICK, MD 21701-4547
(301) 663-4774
(301) 695-1364

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
12/09/2011
Last updated
01/24/2020
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