Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
Center for Breast Care, 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
7211 BANK CT, FREDERICK, MD 21703-8483
(301) 418-6611
(301) 428-6620
Mailing address
7211 BANK CT, FREDERICK, MD 21703-8483
(301) 418-6611
(301) 428-6620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
01/24/2020
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