DAVID JONATHAN FREDERIKS

NEW LONDON, CT
NPI1225048168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: CT  036811)
Enumeration Date2006-08-09
Last Update Date2013-06-14
Business Address
-- DAVID JONATHAN FREDERIKS MD
365 MONTAUK AVE ROOM 4.512
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
Mailing Address
-- DAVID JONATHAN FREDERIKS MD
365 MONTAUK AVE ROOM 4.512
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711