Individual
DR. FRED E EMERSON
Active
Individual
DR. FRED E EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18052
ME
208000000X
Pediatrics Physician
MD18052
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30208517
—
NH
05
—
433831099
—
MA
Enumeration date
12/01/2006
Last updated
06/26/2012
Update your record
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