OrganizationActive
Frederick Health Medical Group LLC
NPI 1134497704 · Hospice and Palliative Medicine (Internal Medicine) Physician · Frederick, MD
Provider details
- NPI number
- 1134497704
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Frederick Health Medical Group LLC
- Authorized official
- Michelle Mahan, Sr. Vp and Cfo
Practice location
516 Trail Ave
Frederick, MD 21701-4942
Phone: (240) 566-3030
Fax: (240) 566-3040
Mailing address
516 Trail Ave
Frederick, MD 21701-4942
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2020-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.