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Individual

MR. DAVID LAWRENCE FRADKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA CCCA

Contact information

Practice address
735 WESTHAMPTON ROAD, NORTHAMPTON, MA 01062
(413) 584-0022
(508) 753-0665
Mailing address
735 WESTHAMPTON ROAD, NORTHAMPTON, MA 01062
(413) 584-0022
(508) 753-0665

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
77
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5102065
MA
Enumeration date
03/22/2007
Last updated
07/08/2007
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