| Susan B. Brinkley, Llc | |
|
198 Thomas Johnson Dr Suite 200 Frederick MD 21702-4398 | |
| (301) 668-2800 | |
| (301) 668-0611 |
| Full Name | Susan B. Brinkley, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 198 Thomas Johnson Dr, Frederick, Maryland |
| Authorized Official Name and Position | Susan Barnett Brinkley (OWNER) |
| Authorized Official Contact | 3016682800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan B. Brinkley, Llc 198 Thomas Johnson Dr Suite 200 Frederick MD 21702-4398 Ph: (301) 668-2800 | Susan B. Brinkley, Llc 198 Thomas Johnson Dr Suite 200 Frederick MD 21702-4398 Ph: (301) 668-2800 |
| NPI Number | 1912191719 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912191719 | NPI | - | NPPES |
| 69020000001B12 | Other | MD | MD BCBS |
| S3740001 | Other | MD | DC BCBS |
| 4289284 | Other | MD | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0043389 (Maryland) | Primary |
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