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Individual

FREDERICK R VALENTINE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1044 G A R HWY, SWANSEA, MA 02777-4501
(508) 675-7725
(508) 676-3079
Mailing address
1044 G A R HWY, SWANSEA, MA 02777-4501
(508) 675-7725
(508) 676-3079

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2613
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0333158
MA
01
151600
HARVARD PILGRIM
MA
01
2200563
UNITED HEALTHCARE
Enumeration date
05/17/2006
Last updated
10/01/2008
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