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Contact Information

MEDSTAR MEDICAL GROUP II LLC
163 THOMAS JOHNSON DR
1ST FL., SUITE E
FREDERICK, MD21702
 Phone: 410-751-8800
 Fax: 301-696-2853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MEDSTAR MEDICAL GROUP II LLC · (Female)

NPI # 1619783537
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2024
Last updated 12/05/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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