Provider Demographics
NPI:1154331577
Name:FREDERICK NEONATAL SERVICES SERIES
Entity Type:Organization
Organization Name:FREDERICK NEONATAL SERVICES SERIES
Other - Org Name:FREDERICK MEMORIAL NEONATAL ASSOCIATES, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILEA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-566-3330
Mailing Address - Street 1:PO BOX 62080
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-2080
Mailing Address - Country:US
Mailing Address - Phone:866-846-9543
Mailing Address - Fax:703-289-1414
Practice Address - Street 1:400 W 7TH ST
Practice Address - Street 2:FMH SPECIAL CARE NURSERY
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4506
Practice Address - Country:US
Practice Address - Phone:240-566-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Not Answered363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatalGroup - Single Specialty