| NPI | 1285006288 |
|---|---|
| Doing Business As | FREDERICK FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | INNOCENT MONYA-TAMBI Attending Physician 443-370-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD D0076463) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2016-07-15 |