# DUANE FREDERICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184618886
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | 25MA08928300 | NJ | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 25MA08928300 | NJ | — |
| 208600000X | Surgery Physician | P40643 | NY | — |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 08/10/2026