Organization
FREDERICK J SAUERBURGER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J SAUERBURGER MD (PRESIDENT)
(301) 843-3120
Entity
Organization
Contact information
Practice address
11345 PEMBROOKE SQUARE, STE 105, WALDORF, MD 20603
(301) 843-3120
(301) 645-4740
Mailing address
11345 PEMBROOKE SQUARE, STE 105, WALDORF, MD 20603
(301) 843-3120
(301) 645-4740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
212291000
MD
207W00000X
Ophthalmology Physician
Primary
KN29
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212291000
—
MD
01
—
8185
CAREFIRST OF DC
DC
01
—
KN29FR
CAREFIRST OF MD
MD
Enumeration date
06/27/2005
Last updated
06/16/2008
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