Individual
DR. FREDERICK CHARLES LOUGH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, WRNMMC, CARDIOTHORACIC SURGERY, BETHESDA, MD 20889-0004
(301) 319-2837
(301) 295-2662
Mailing address
8901 WISCONSIN AVE, WRNMMC, CARDIOTHORACIC SURGERY, BETHESDA, MD 20889-0004
(301) 319-2837
(301) 295-2662
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD035580
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010228824
—
VA
05
—
035556900
—
DC
05
—
404465702
—
MD
01
—
CAREFIRST BC/BS
64046002
MD
01
—
J4490007
CAREFIRST BC/BS
DC
Enumeration date
06/11/2006
Last updated
02/07/2014
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