Organization
INTERNAL MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT AUSTIN PEARRE JR. MD (CHAIRMAN OF THE BOARD)
(301) 662-8119
Entity
Organization
Contact information
Practice address
300 W 9TH ST, FREDERICK, MD 21701-4541
(301) 662-8119
(301) 696-0985
Mailing address
300 W 9TH ST, FREDERICK, MD 21701-4541
(301) 662-8119
(301) 696-0985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851492276
MEDICAID NPI
MD
05
—
976221300
—
MD
01
—
E3195
MEDICARE RAILROAD
MD
Enumeration date
09/26/2006
Last updated
05/12/2008
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