Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK PAUL VANDUSEN, DO
ActiveDR. FREDERICK PAUL VANDUSEN, DO is a Family Medicine healthcare provider located in GALENA, Maryland. NPI 1619951894 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GALENA, MD
Registration Details
- NPI Number
- 1619951894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.726979665475 yrs)
- Last Updated
- Mar 27, 2012
- Licenses
-
C20004063 (DE)H67200 (MD)
Practice Information
- Address
-
119 C N MAIN STREETGALENA, MD, 21635Browse MD providers · Browse ZIP 21635
- Phone
- 4106485150
- Fax
- 4106485140
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.