Organization
PARTNERS IN PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JONATHAN FREDERIKS MD (MEMBER)
(860) 510-0792
Entity
Organization
Contact information
Practice address
1358 BOSTON POST RD, UNIT 1, OLD SAYBROOK, CT 06475-1749
(860) 510-0792
(860) 510-0793
Mailing address
1358 BOSTON POST RD, UNIT 1, OLD SAYBROOK, CT 06475-1749
(860) 510-0792
(860) 510-0793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036811
CT
207R00000X
Internal Medicine Physician
042678
CT
Other
Enumeration date
01/08/2008
Last updated
01/09/2008
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