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JALLER FAMILY MEDICINE PC NPI 1538372826


NPI Information

NPI: 1538372826
Provider Name: JALLER FAMILY MEDICINE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
184 THOMAS JOHNSON DR STE 200
FREDERICK, MD
ZIP 21702
Phone: (301) 624-5544
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JALLER FAMILY MEDICINE, PC is a family medicine in Frederick, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JALLER FAMILY MEDICINE, PC NPI is 1538372826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

184 THOMAS JOHNSON DR STE 200
FREDERICK, MD
ZIP 21702-561
Phone: (301) 624-5544
Fax: (301) 624-4164

The provider's authorized official is David Jaller .
The authorized official title is Owner and has the following contact phone number (301) 624-5544.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 2/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineD0033153MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1244PMEDICARE PINMARYLAND
2C34730MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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