is a Surgery in Prince Frederick, Maryland. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1649437468. The last update date is .
's current location address is 110 Hospital Rd, Prince Frederick, Maryland. You can contact this provider via phone number 4104149017 and fax number 4104149019. The mailing address for is 110 Hospital Rd, Prince Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 110 Hospital Rd, Prince Frederick, Maryland |
| Phone Number | 4104149017 |
| Fax Number | 4104149019 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649437468 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 110 Hospital Rd |
|---|---|
| City | Prince Frederick |
| State | Maryland (MD) |
| Post Code | 206784019 |
| Phone Number | 4104149017 |
| Fax Number | 4104149019 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD038703 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 421294100 | MD | -- |
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