Gi Wellness Center Of Frederick, LLC
Clinic/Center, Endoscopy in Frederick, MD. Organization (NPI-2).
NPI number1013372986
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1013372986
- Entity type
- Organization (NPI-2)
- Legal business name
- Gi Wellness Center Of Frederick, LLC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2015
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | – | MD | Yes |
Practice location
165 Thomas Johnson DrSuite B&C
Frederick, MD 21702-4742
Phone 301-620-4200
Mailing address
165 Thomas Johnson DrSuite B&C
Frederick, MD 21702-4742
Phone 301-620-4200
Authorized official
Scott Edward Andochick
Owner
2404469855
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