Organization
TAK MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND D. FREDETTE (EXECUTIVE VICE PRESIDENT)
(978) 466-4033
Entity
Organization
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4159
(978) 466-4396
(978) 466-4029
Mailing address
48 NELSON STREET, LEOMINSTER, MA 01453-1234
(978) 466-4396
(978) 466-4029
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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