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1578530069
SCOTT E. FREDERICKS
PORTLAND, ME
NPI
1578530069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: ME MD17167)
Enumeration Date
2006-03-02
Last Update Date
2015-11-03
Business Address
-- SCOTT E. FREDERICKS M.D.
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2571
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Mailing Address
-- SCOTT E. FREDERICKS M.D.
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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