Individual
FREDERICK WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2999 REGENT ST, SUITE 622, BERKELEY, CA 94705-2146
(510) 883-9292
Mailing address
729 SPRUCE ST, BERKELEY, CA 94707-2040
(540) 526-8518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G68353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G683531
—
CA
Enumeration date
06/20/2006
Last updated
02/11/2022
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