MEDICARE: FREDERICK CARDIOLOGY CENTER PC

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	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1972975894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK CARDIOLOGY CENTER PC

Provider Business Mailing Address
First Line	:	1805 N GREENLEESE DR
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-9352
Country	:	US
Telephone Number	:	301-768-0552
Fax Number	:	301-668-0008

Provider Business Practice Location Address
First Line	:	801 TOLL HOUSE AVE STE B2
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-6110
Country	:	US
Telephone Number	:	301-768-0552
Fax Number	:	301-668-0008

Authorized Official
Title or Position	:	CEO
Name	:	DR. ABDUL HAFEEZ ABBASI
Credential	:	MD
Telephone Number	:	301-768-0552

Provider Enumeration Date	:	10/30/2015
Last Update Date	:	10/30/2015

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