PREMISE HEALTH OF MARYLAND MEDICAL P C is a multi-specialty clinic center in Frederick, MD. PREMISE HEALTH OF MARYLAND MEDICAL P C NPI is 1053087338. The provider is registered as an organization entity type.
The provider's business location address is:
7407 WILLOW RD
FREDERICK, MD
ZIP 21702-500
Phone: (301) 624-5270
Fax: (334) 625-4520
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 21D2113396 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/18/2021 and was last updated on 8/18/2021.