Individual
FREDERICK W DEKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 BILLERICA RD FL 9, CHELMSFORD, MA 01824-3604
(978) 250-6000
Mailing address
228 BILLERICA RD FL 9, CHELMSFORD, MA 01824-3604
(978) 250-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52626
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052626
TUFTS
MA
05
—
3062201
—
MA
01
—
J08002
BLUE CROSS
MA
01
—
PM968
HARVARD PILGRIM
MA
Enumeration date
08/12/2006
Last updated
02/18/2021
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