Individual
DR. KIRT FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7532
(203) 796-7667
Mailing address
60 NEWTOWN RD, UNIT 45, DANBURY, CT 06810-6257
(203) 739-7532
(203) 796-7667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
040390
CT
Other
Enumeration date
10/07/2005
Last updated
08/11/2016
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