Organization
FREDERICK HEALTH MEDICAL GROUP LLC
Active
Parent organization
FREDERICK HEALTH MEDICAL GROUP LLC
Other names
Monocacy Health Partners LLC, Frederick Health Medical Group, Monocacy Health Partners Wound and Hyperbaric Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK HEALTH MEDICAL GROUP LLC
Authorized official
MICHELLE MAHAN (SR VP AND CFO)
(240) 566-3355
Entity
Organization
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3840
(240) 566-3890
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3840
(240) 566-3890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
01/24/2020
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