Provider Demographics
NPI:1538163514
Name:SAUERBURGER, FREDERICK J (MD, PA)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:J
Last Name:SAUERBURGER
Suffix:
Gender:M
Credentials:MD, PA
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Mailing Address - Street 1:11345 PEMBROOKE SQ
Mailing Address - Street 2:STE 105
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4804
Mailing Address - Country:US
Mailing Address - Phone:301-843-3120
Mailing Address - Fax:301-645-4740
Practice Address - Street 1:11345 PEMBROOKE SQ
Practice Address - Street 2:STE 105
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4804
Practice Address - Country:US
Practice Address - Phone:301-843-3120
Practice Address - Fax:301-645-4740
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2009-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD20631207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406183528AOtherRR MEDICARE
MD42041101OtherCAREFIRST
MD251901100Medicaid
DC8185-0001OtherCAREFIRST
831314OtherFIRST HEALTH PPO
MD27589OtherMARYLAND MEDICAID MCO
MD406183528AOtherRR MEDICARE
B70176Medicare UPIN
MDKN29KI23Medicare PIN