Individual
DR. JAMES FREASE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
(508) 941-0895
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
(508) 941-0895
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-35626
KS
208600000X
Surgery Physician
81718
MA
2086S0102X
Surgical Critical Care Physician
04-35626
KS
2086S0102X
Surgical Critical Care Physician
81718
MA
2086S0127X
Trauma Surgery Physician
Primary
81718
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035960
NHP
MA
01
—
1076810
AETNA HMO
MA
01
—
17-02030
UNITED
MA
01
—
4659658
AETNA PPO
MA
01
—
7577762
CIGNA
MA
01
—
AA41810
HPHC
MA
01
—
J29266
BCBS
MA
Enumeration date
11/08/2006
Last updated
07/05/2016
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