Frederick Primary Care Associates, P.a.

NPI #1124845797 in Jefferson, Maryland

Provider Information

NPI Number: 1124845797
Entity Type: Organization
Organization Name: Frederick Primary Care Associates, P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Primary Specialty: Family Medicine
Enumeration Date: Sep 24, 2024
Last Updated: Feb 27, 2025

Practice Location

Address: 4014 MOUNTVILLE RD
City: Jefferson
State: Maryland
ZIP Code: 21755-7713
Phone: (301) 834-7188

Authorized Official

Name: MR. SCOTT R LILLY
Title: CEO
Phone: (301) 663-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Family Medicine	207Q00000X	Primary

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