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1477556173

NPI Code Detail

MEDICARE: FREDERICK H. GUCKES M.D.

MEDICARE: FREDERICK H. GUCKES 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	207VC0200X	Critical Care Medicine (Obstetrics & Gynecology) Physician	D0052857	MD
2	207V00000X	Obstetrics & Gynecology Physician	D0052857	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169821Y5Z	OTHER	MD	MEDICARE
2	169821ZDWS	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CY310003	OTHER	MD	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477556173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDERICK H. GUCKES M.D.

Provider Business Mailing Address
First Line	:	2000 MEDICAL PKWY STE 409
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3746
Country	:	US
Telephone Number	:	672-047-2126
Fax Number	:	443-481-4151

Provider Business Practice Location Address
First Line	:	2000 MEDICAL PKWY
Second Line	:	STE 304
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3745
Country	:	US
Telephone Number	:	410-573-9530
Fax Number	:	410-573-9569

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/24/2024

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Directions to “ FREDERICK H. GUCKES M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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