Individual
FREDERICK W HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37567
MA
207RG0100X
Gastroenterology Physician
Primary
37567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110063842A
—
MA
05
—
6167497
—
MA
Enumeration date
10/02/2006
Last updated
10/24/2011
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