Individual
DR. FREDERICK CARL KOERNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ME
Contact information
Practice address
55 FRUIT ST, PATHOLOGY ASSOCIATES WRN, BOSTON, MA 02114-2696
(617) 726-2967
(617) 726-7474
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
43527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043527
TUFTS HEALTH PLAN
MA
05
—
6169759
—
MA
01
—
J02496
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
07/08/2007
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