MEDICARE: PATRICIA FRISCHTAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D0071467	MD

General Provider Information

NPI Number	:	1194824938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA FRISCHTAK M.D.

Provider Business Mailing Address
First Line	:	7945 MACARTHUR BLVD STE 214
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-1634
Country	:	US
Telephone Number	:	301-987-7284
Fax Number	:	240-534-2196

Provider Business Practice Location Address
First Line	:	7945 MACARTHUR BLVD STE 214
Second Line	:
City	:	CABIN JOHN
State	:	MD
Zip	:	20818-1634
Country	:	US
Telephone Number	:	301-987-7284
Fax Number	:	240-534-2196

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	04/17/2019

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