Healthcare Provider Details

I. General information

NPI: 1568427474
Provider Name (Legal Business Name): DEBORAH ANN FRITZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 MONTGOMERY RD SUITE 23
CINCINNATI OH
45242-4498
US

IV. Provider business mailing address

10550 MONTGOMERY RD SUITE 23
CINCINNATI OH
45242-4498
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-3313
  • Fax: 513-984-4698
Mailing address:
  • Phone: 513-984-3313
  • Fax: 513-984-4698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-049127
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35-049127
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: