MEDICARE: DR. JENNIFER ADU-FRIMPONG MD

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	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	D0069764	DC
2	207P00000X	Emergency Medicine Physician	D0069764	MD
3	174400000X	Specialist	036-114100	IL

General Provider Information

NPI Number	:	1790733202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ADU-FRIMPONG MD

Provider Business Mailing Address
First Line	:	11211 MELVIN CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-2039
Country	:	US
Telephone Number	:	404-964-8726
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1460
Country	:	US
Telephone Number	:	404-964-8726
Fax Number	:

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	09/04/2025

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