Walter B Frady, M.D.

NPI #1255361382 in St Augustine, Florida

Provider Information

NPI Number: 1255361382
Entity Type: Individual
Name: Walter B Frady, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 4, 2006
Last Updated: Jan 8, 2010

Practice Location

Address: 16 ST JOHNS MEDICAL PARK DR
City: St Augustine
State: Florida
ZIP Code: 32086-5299
Phone: (904) 794-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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