Healthcare Provider Details

I. General information

NPI: 1114907615
Provider Name (Legal Business Name): CALVERT FAMILY PRACTICE ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HOSPITAL RD SUITE 111
PRINCE FREDERICK MD
20678-4019
US

IV. Provider business mailing address

110 HOSPITAL RD SUITE 111
PRINCE FREDERICK MD
20678-4019
US

V. Phone/Fax

Practice location:
  • Phone: 410-535-4488
  • Fax: 410-535-6131
Mailing address:
  • Phone: 410-535-4488
  • Fax: 410-535-6131

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: DR. ROBERT JOHN SCHLAGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 410-535-4488