Individual
MS. ELISA SMITHSON FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
44 BINNEY ST, BOSTON, MA 02115-6013
(617) 632-3368
Mailing address
44 BINNEY ST, BOSTON, MA 02115-6013
(617) 632-3368
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
195918
MA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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