Optimal Digestive Care

LBN: David W. Kossoff, M.D., Llc
Optimal Digestive Care is an health care organization with primary practice located at 70 Thomas Johnson Dr Suite 120, Frederick MD 21702-4361. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. David W. Kossoff, M.D., Llc can be contacted via phone (301) 624-5566, or through Freni, Lawrence G via phone (855) 427-8761.

Contact Information

Primary practice address
70 Thomas Johnson Dr Suite 120 Frederick MD 21702-4361
Fax: (301) 624-5542
Website:
Authorized official contact:
Name: Freni, Lawrence G

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0054121 Maryland

Profile Details

NPI number 1437206984
LBN Legal business name David W. Kossoff, M.D., Llc
DBA Doing business as Optimal Digestive Care
Authorized official Freni, Lawrence G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437206984 NPPES
Maryland Other 4040001 CAREFIRST NAT CAP AREA
Maryland Other 494710 CAREFIRST NAT CAP AREA
Maryland Other 682BDA CAREFIRST NAT CAP AREA
Maryland Other 376329 CAREFIRST NAT CAP AREA
Maryland Other P10152 CAREFIRST NAT CAP AREA
Maryland Other P00206418 CAREFIRST NAT CAP AREA
Maryland MEDICAID 133102701 CAREFIRST NAT CAP AREA

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