Organization
WILLIAM R FREDERICK MD PC
Active
Organization
WILLIAM R FREDERICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R FREDERICK M.D. (OWNER)
(202) 291-6423
Entity
Organization
Contact information
Practice address
106 IRVING ST NW, SUITE 304 SOUTH TOWER, WASHINGTON, DC 20010-2927
(202) 291-6423
(202) 291-0691
Mailing address
106 IRVING ST NW, SUITE 304 SOUTH TOWER, WASHINGTON, DC 20010-2927
(202) 291-6423
(202) 291-0691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00007970
MD
207R00000X
Internal Medicine Physician
0101051734
VA
207R00000X
Internal Medicine Physician
Primary
4502
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181919-00
—
MD
05
—
022143-00
—
DC
01
—
407113083
RAILROAD MEDICARE
GA
01
—
6235
BLUE CROSS/BLUE SHIELD
DC
Enumeration date
11/23/2007
Last updated
06/02/2009
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