Organization Name: | DIGESTIVE DISEASE CONSULTANT OF FREDERICK ENDOSCOPY STE |
NPI Number: | 1386667681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES AMASA FRIZZELL (OWNER) |
Mailing Address: | 915 Toll House Ave Ste 201 Frederick |
State: | MD US |
Postal Code: | 217015901 |
Phone Number: | 3016627822 |
Fax Number: | 3016628883 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | A1141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |