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NPI Code Detail

MEDICARE: FRED D. KERN MD

MEDICARE:   FRED D. KERN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician57747MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447245006
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED D. KERN MD
Provider Business Mailing Address
First Line : 1029 PLEASANT ST
Second Line : SUITE 100
City : BRIDGEWATER
State : MA
Zip : 02324
Country : US
Telephone Number : 508-697-8116
Fax Number : 508-697-8117
Provider Business Practice Location Address
First Line : 1029 PLEASANT ST
Second Line : SUITE 100
City : BRIDGEWATER
State : MA
Zip : 02324
Country : US
Telephone Number : 508-697-8116
Fax Number : 508-697-8117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 08/10/2016

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Directions to “ FRED D. KERN MD” Practice Location

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