Stephen Fredd | Potomac, MD • PECOS Search

Stephen Fredd

Internal Medicine

Allopathic & Osteopathic Physicians

1907 Sunrise Dr, Potomac, MD 20854-2675

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen Fredd does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1184860462
Provider Type
Individual
Full Name
Fredd, Stephen
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/17/2008
Last Updated
12/17/2008

Contact Information

Practice Location

1907 Sunrise Dr, Potomac, MD 20854-2675

Unlisted Fax

Mailing Location

1907 Sunrise Dr, Potomac, MD 20854-2675

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License D0022147 Maryland