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Daniel Fredericks
NPI 1750828646 · on the registry since 2017 · sole proprietor
Practice
- Address
- 418 Centre St Unit C
Boston, MA 02130 - Phone
- (518) 928-5689
- Clinicians at this address
- 137
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-13
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 Massachusetts