Organization · Type 2 NPI
Premise Health of Maryland Medical P C
Multi-Specialty Clinic/Center · Frederick, MD
NPI number
1073258661
Active
Practice location
9021 Bennett Creek Blvd
Frederick, MD 21704-7639
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1073258661
Premise Health of Maryland Medical P C's National Provider Identifier is 1073258661, issued on Apr 28, 2022. 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 Feb 2, 2026.