Individual
DR. FREDERICK JOSEPH DEROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1065 TACKETTS POND DR, RALEIGH, NC 27614-7887
(919) 475-1009
Mailing address
1065 TACKETTS POND DR, RALEIGH, NC 27614-7887
(919) 475-1009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000282
CT
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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