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Contact Information

BRIAN R FRADETTE, DPM
6 TSIENNETO RD
SUITE 303
DERRY, NH03038-1584
 Phone: 603-432-2508
 Fax: 603-432-2008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN R FRADETTE · (Male)

NPI Number 1679594592
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/23/2006
Last updated 06/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # NH0149
  • NH Medicaid 80488249
Hospital affiliation(s) Not Available
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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