Individual
FREDERICK P GEORGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 595-2300
(508) 853-5226
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 595-2300
(508) 853-5226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110065177A
—
MA
Enumeration date
04/13/2006
Last updated
09/17/2018
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