Individual
DR. FREDERICK L GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
280 WASHINGTON ST, SUITE 305, BRIGHTON, MA 02135-3511
(617) 787-4662
(617) 787-4662
Mailing address
30 DANIELS ST, ARLINGTON, MA 02476-5960
(781) 820-7597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3106
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004717
PACIFICARE
MA
01
—
27870
HMO MAGELAN INDIVIDUAL #
MA
01
—
602105
TUFTS (GROUP#)
MA
01
—
700176
TUFTS (INDIVIDUAL)
MA
Enumeration date
09/20/2006
Last updated
05/19/2022
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