Organization · Type 2 NPI

Frederick Health Medical Group LLC

Urology Physician · Frederick, MD

NPI number 1578831145 Active

Practice location

1562 Opossumtown Pike Ste 301
Frederick, MD 21702-4337

Call (301) 663-4774 Map

Fax (301) 695-1364

Mailing address

900 Toll House Ave
Frederick, MD 21701-4547

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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NPI record

NPI: 1578831145
Entity type: Organization (Type 2)
Issued: Dec 9, 2011
Last updated: Jan 24, 2020
Status: Active
Subpart: Yes of Frederick Health Medical Group LLC

Other names

<unavail>
Frederick Health Medical Group · doing business as
Frederick Urology Specialists · doing business as
Monocacy Health Partners LLC · former legal business name

Authorized official

Michelle K Mahan
Sr. VP and CFO
(240) 566-3355

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About NPI 1578831145

Frederick Health Medical Group LLC's National Provider Identifier is 1578831145, issued on Dec 9, 2011. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Frederick, MD. The record was last updated on Jan 24, 2020.