Individual provider · Type 1 NPI

Fredric Louis Jeffries

Medical Physician Assistant · Boston, MA

NPI number 1932078912 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5450

Mailing address

635 Washington St
Gloucester, MA 01930-1700

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA102226 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1932078912

Fredric Louis Jeffries's National Provider Identifier is 1932078912, issued on Oct 30, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Dec 2, 2025.