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Kirt Frederickson

  • Male

Medical Specialty

Professional ID

  • NPI: 1144218819
  • PECOS ID: 6608818166
  • Enrollment ID: I20050525000016
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1996

Hospital Service

  • Hospital CCN1: 070033
  • Business Name (LBN)1: Danbury Hospital

Medical Practices

  • Organization Name: Danbury Radiological Associates, Pc
  • Group Practice ID assigned by PECOS: 2264408533
  • Number of Group Practice member: 18

Location

  • Address1: 24 Hospital Ave
  • Address2:
  • City: Danbury
  • State: Connecticut
  • Zip Code: 06810
  • Phone Number: (203)739-7532

Medical Practices

  • Organization Name: Newtown Diagnostic Imaging Llc
  • Group Practice ID assigned by PECOS: 6406897354
  • Number of Group Practice member: 16

Location

  • Address1: 153 S Main St
  • Address2:
  • City: Newtown
  • State: Connecticut
  • Zip Code: 06470
  • Phone Number: (203)426-3002

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):