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Individual

DR. EDWARD FRED INGERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
530 BOSTON POST RD E STE D, MARLBOROUGH, MA 01752-3645
(508) 481-8094
(508) 481-8478
Mailing address
19 HYDER ST, WESTBOROUGH, MA 01581-3722
(508) 366-0759

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12693
MA

Other

Enumeration date
01/15/2007
Last updated
07/08/2007
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