Individual
DR. ANNE M FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-8496
(215) 707-4086
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8496
(215) 707-4086
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA09605400
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA09605400
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
434036
PA
Other
Enumeration date
11/23/2007
Last updated
04/12/2024
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