Individual
MR. PETER FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDO
Contact information
Practice address
144 NEWBURYPORT TPKE STE A3, ROWLEY, MA 01969-2132
(978) 948-7756
Mailing address
144 NEWBURYPORT TPKE STE A3, ROWLEY, MA 01969-2132
(978) 948-7756
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1959
MA
156FX1800X
Optician
782
NH
Other
Enumeration date
10/03/2008
Last updated
07/27/2009
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