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Contact Information

DAPHNEY E FREDERIQUE, MD
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA23601
 Phone: 757-594-2000
 Fax: 757-826-9028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAPHNEY E FREDERIQUE · (Female)

NPI # 1134325400
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2007
Last updated 10/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 232133
  • VA License # 0101249481
  • VA Medicaid 1134325400
Hospital affiliation(s)
  • RIVERSIDE SHORE MEMORIAL HOSPITAL - (Acute Care)
    9507 HOSPITAL AVENUE
    NASSAWADOX, VA 23413
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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