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Individual

DR. FREDERICK MILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
82 SUMMER ST, KINGSTON, MA 02364-1450
(781) 585-2332
(781) 585-6257
Mailing address
82 SUMMER ST, KINGSTON, MA 02364-1450
(781) 585-2332
(781) 585-6257

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2445-TP
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0325163
MA
Enumeration date
08/17/2006
Last updated
07/08/2007
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