Individual provider · Type 1 NPI
Brian R. Fradette, D.P.M.
Foot & Ankle Surgery Podiatrist · Derry, NH
NPI number
1679594592
Active
Practice location
6 Tsienneto Rd, Suite 303
Derry, NH 03038-1584
Fax (603) 432-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | NH0149 (NH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679594592
Brian R. Fradette, D.P.M.'s National Provider Identifier is 1679594592, issued on Jul 23, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Derry, NH. The record was last updated on Jun 3, 2011.