Individual
FRED H KOHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 STONEYMEADE WAY, ACTON, MA 01720-5676
(978) 635-9413
Mailing address
32 STONEYMEADE WAY, ACTON, MA 01720-5676
(978) 635-9413
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
45546
MA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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