Healthcare Provider Details

I. General information

NPI: 1013906734
Provider Name (Legal Business Name): AARON L. FRENZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BAKER AVE
CONCORD MA
01742-2129
US

IV. Provider business mailing address

115 MILL ST CEC
BELMONT MA
02478-1064
US

V. Phone/Fax

Practice location:
  • Phone: 978-287-9380
  • Fax:
Mailing address:
  • Phone: 617-855-3562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number217209
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: