Most Relevant Information
Provider Data
NPI Number: | 1003335951 |
Provider Name: | FREDERIC THOMAS-CHAUSSE M.D. |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: | 270756 |
Most Important Dates
Enumeration Date: | 09/12/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
300 LONGWOOD AVE
BOSTON
MA
021155724
Practice Location Phone/Fax
Phone: | 6173556936 |
Fax: | 6177300573 |
Provider Mailing Location
BOSTON CHILDREN'S HOSPITAL
300 LONGWOOD AVE/RADIOLOGY
BOSTON
MA
02115
Provider Mailing Phone/Fax
Phone: | 6173556936 |
Fax: | 6177300573 |