Healthcare Provider Details

I. General information

NPI: 1013831387
Provider Name (Legal Business Name): MENOCAL MEDICAL SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 DUAL HWY STE 101
HAGERSTOWN MD
21740-6602
US

IV. Provider business mailing address

1050 KEY PKWY STE 102
FREDERICK MD
21702-4496
US

V. Phone/Fax

Practice location:
  • Phone: 240-215-1138
  • Fax: 240-215-1140
Mailing address:
  • Phone: 240-215-1138
  • Fax: 240-215-1140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIA MENOCAL
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 240-586-0160