Organization
NORFOLK GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK FREDERICKSON MD (PRESIDENT)
(508) 623-3700
Entity
Organization
Contact information
Practice address
31 PINE ST, SUITE # 300, NORFOLK, MA 02056-1642
(508) 623-3700
(508) 623-3701
Mailing address
31 PINE ST, SUITE # 300, NORFOLK, MA 02056-1642
(508) 623-3700
(508) 623-3701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
07/28/2015
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