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Individual
DR. JAMES ROBERT FREDERICK
Active
Individual
DR. JAMES ROBERT FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD453528
PA
207P00000X
Emergency Medicine Physician
MT201593
PA
208D00000X
General Practice Physician
2008-01176
NC
208D00000X
General Practice Physician
24335
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2007
Last updated
07/31/2025
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