Individual
DR. FREDERIC DEBROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, ANESTHESIA ASSOCIATES GRB 406E, BOSTON, MA 02114-2621
(617) 724-7184
(617) 726-8984
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
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
41455
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041455
TUFTS HEALTH PLAN
MA
05
—
6175716
—
MA
01
—
J02562
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
10/26/2009
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