Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH2665 | MA |
NPI | 1437234226 |
---|---|
Provider Name | Dr. David J. Frey |
First Address | Worcester, MA 01605 |
Second Address | Worcester, MA 01605-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |