Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
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) 566-3337
Entity
Organization
Contact information
Practice address
1562 OPOSSUMTOWN PIKE STE 103, FREDERICK, MD 21702-4337
(240) 566-4500
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3337
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
01/24/2020
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