Provider Demographics
NPI:1972532638
Name:VOHR, FRED H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:H
Last Name:VOHR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:51 EDWARDS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-3504
Mailing Address - Country:US
Mailing Address - Phone:401-364-0050
Mailing Address - Fax:
Practice Address - Street 1:308 CALLAHAN RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-7739
Practice Address - Country:US
Practice Address - Phone:401-295-9706
Practice Address - Fax:401-295-0920
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD03876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI16597OtherBLUE CROSS
RIMD03876OtherMEDICAL LICENSE
RI9001659Medicaid
RI9001659Medicaid
RI9001659Medicaid