Individual
FRED L ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
174 PLEASANT ST, ATTLEBORO, MA 02703-2441
(508) 222-8013
(508) 226-4228
Mailing address
174 PLEASANT ST, ATTLEBORO, MA 02703-2441
(508) 222-8013
(508) 226-4228
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125610001
MEDICARE SUPPLIER NUMBER
MA
01
—
102058
SUPPLIER NUMBER
MA
Enumeration date
07/03/2007
Last updated
07/08/2007
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