MEDICARE: DR. FREDERICK J SAUERBURGER MD, PA

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	207W00000X	Ophthalmology Physician	D20631	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	406183528A	OTHER	MD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	42041101	OTHER	MD	CAREFIRST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8185-0001	OTHER	DC	CAREFIRST
5	831314	OTHER		FIRST HEALTH PPO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538163514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK J SAUERBURGER MD, PA

Provider Business Mailing Address
First Line	:	11345 PEMBROOKE SQ
Second Line	:	STE 105
City	:	WALDORF
State	:	MD
Zip	:	20603-4804
Country	:	US
Telephone Number	:	301-843-3120
Fax Number	:	301-645-4740

Provider Business Practice Location Address
First Line	:	11345 PEMBROOKE SQ
Second Line	:	STE 105
City	:	WALDORF
State	:	MD
Zip	:	20603-4804
Country	:	US
Telephone Number	:	301-843-3120
Fax Number	:	301-645-4740

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	12/16/2009

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