Individual
DR. JAMES ROBERT FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N 15TH ST, HAHNEMANN UNIVERSITY HOSPITAL, DEPT OF EMER MED, PHILADELPHIA, PA 19102-1030
(215) 850-2550
Mailing address
618 GARDEN RD, GLENSIDE, PA 19038-5110
(215) 850-2550
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD453528
PA
207P00000X
Emergency Medicine Physician
MT201593
PA
208D00000X
General Practice Physician
2008-01176
NC
208D00000X
General Practice Physician
24335
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2007
Last updated
07/31/2025
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