Individual
DR. ALBERT R FREDERICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27502
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027976
—
MA
01
—
M07168
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
06/06/2008
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