Individual
FRED W HOLLAND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-8289
(724) 773-4532
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-8289
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD070887L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312647
—
OH
01
—
AA23118552
MEDICARE PTAN
SC
Enumeration date
01/11/2006
Last updated
11/25/2020
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