Organization · Type 2 NPI

Premise Health of Maryland Medical P C

Multi-Specialty Clinic/Center · Frederick, MD

NPI number 1053087338 Active

Practice location

7407 Willow Rd
Frederick, MD 21702-2500

Fax (334) 625-4520

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

15 other providers at this address

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About NPI 1053087338

Premise Health of Maryland Medical P C's National Provider Identifier is 1053087338, issued on Aug 18, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Frederick, MD. The record was last updated on Jan 29, 2026.