Provider Demographics
NPI:1871852806
Name:NISENFELD & CHILTON, MD, PA
Entity Type:Organization
Organization Name:NISENFELD & CHILTON, MD, PA
Other - Org Name:ORTHPAEDIC ASSOCIATES OF FREDERICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-694-8311
Mailing Address - Street 1:86 THOMAS JOHNSON CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4348
Mailing Address - Country:US
Mailing Address - Phone:301-694-8311
Mailing Address - Fax:301-694-3537
Practice Address - Street 1:170 THOMAS JOHNSON DR
Practice Address - Street 2:STE. 102
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4354
Practice Address - Country:US
Practice Address - Phone:301-694-8311
Practice Address - Fax:301-695-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty