| Primedoc Of Frederick Pa | |
|
400 W Seventh St Frederick MD 21701-4506 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | Primedoc Of Frederick Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 W Seventh St, Frederick, Maryland |
| Authorized Official Name and Position | Robert Reynolds (PRESIDENT) |
| Authorized Official Contact | 8282103260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedoc Of Frederick Pa Po Box 601360 Charlotte NC 28260-1360 Ph: (843) 237-3378 | Primedoc Of Frederick Pa 400 W Seventh St Frederick MD 21701-4506 Ph: (843) 237-3378 |
| NPI Number | 1952367476 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 03/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952367476 | NPI | - | NPPES |
| 404823700 | Medicaid | MD | |
| J585 | Other | MD | BLUE SHIELD FEDERAL |
| 633APR | Other | MD | BLUE SHIELD STATE |
| 136915 | Other | VA | BCBS |
| DB5153 | Other | MD | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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