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 |