Paul Fritz MD

NPI 1205989761 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1205989761
Gender Male
Enumeration Date 01/19/2007
Last Updated 12/09/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
125 OAKLAND AVE
SUITE 303
PORT JEFFERSON NY, 11777-2130, US
Phone (631) 928-3122
Fax (631) 928-3192
Business Location
125 OAKLAND AVE
SUITE 303
PORT JEFFERSON NY, 11777-2130, US
Phone (631) 928-3122
Fax (631) 928-3192
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 167958
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According to our database, Paul Fritz MD NPI is 1205989761, taxonomy code is 2084P0800X and license number is 167958, license state is located at New York. Paul Fritz MD physically located at 125 Oakland Ave, Port Jefferson NY, 11777-2130. NPI Number Paul Fritz MD has the Individual type.

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1205989761 NPI number is provided on an as is basis without warranty of any kind. 1205989761 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Fritz MD are for informational purposes only.