BENJAMIN KIRK FREDERICK

PORTSMOUTH, VA
NPI1588902233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-01-30
Last Update Date2013-01-30
Business Address
Dr. BENJAMIN KIRK FREDERICK M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0669
Mailing Address
Dr. BENJAMIN KIRK FREDERICK M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0669