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Individual

DR. KNUTE STEPHEN ALFREDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
655 MAIN ST, FITCHBURG, MA 01420-3107
(978) 342-7590
(978) 342-4433
Mailing address
655 MAIN ST, FITCHBURG, MA 01420-3107
(978) 342-7590
(978) 342-4433

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35256
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3157075
MA
Enumeration date
08/21/2006
Last updated
07/08/2007
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