SearchConnecticut1223G0001X

Glenn Frederick

NPI 1174676589 · on the registry since 2007 · sole proprietor

Practice

Address
37 S Canterbury Rd
Canterbury, CT 06331
Phone
(860) 546-9434

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut