Individual
DR. FRED E EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
584 ROOSEVELT TRAIL, WINDHAM, ME 04062-4904
(207) 892-3233
(207) 893-0752
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
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
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