NPI 1376830182 · live from the CMS NPI Registry
Zoe L Ajebon, D.O.
Family Medicine in Frederick, MD. National Provider Identifier 1376830182, active.
NPI record
| NPI | 1376830182 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704 |
| Practice phone | 240-215-6900 |
| Mailing address | 610 Solarex Ct, Frederick, MD 21703 |
| Enumerated | June 30, 2011 |
| Last updated | April 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 0116024070 (VA) |
| Family Medicine primary | 207Q00000X | H077754 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.