Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Family Medical Clinic

Organization Internal Medicine Physician · NPI 1821585621

Frederick Family Medical Clinic is an Internal Medicine Physician in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2018.

Licensed in
MD
In the registry since
2018

Practice location Address checks out

1709 Rosemont Ave
Frederick, MD 21702-4135
Phone: (301) 624-5999
Fax: (301) 624-5997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0076463 (MD)

Record details

NPI number1821585621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Innocent Monya-Tambi — Owner · (301) 624-5999
NPI enumeratedApril 17, 2018
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address1709 Rosemont Ave, Frederick, MD 21702-4135

Other providers in Frederick