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NPI Code Detail

MEDICARE: DR. VERA A FRITSCH D.M.D.

MEDICARE: DR. VERA A FRITSCH D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry43243CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
143243OTHERCASTATE DENTIST ID NUMBER

General Provider Information

NPI Number : 1427156546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA A FRITSCH D.M.D.
Provider Business Mailing Address
First Line : 505 ESTUDILLO AVE
Second Line : STE. B
City : SAN LEANDRO
State : CA
Zip : 94577-4611
Country : US
Telephone Number : 510-352-6484
Fax Number : 510-352-2095
Provider Business Practice Location Address
First Line : 505 ESTUDILLO AVE
Second Line : STE. B
City : SAN LEANDRO
State : CA
Zip : 94577-4611
Country : US
Telephone Number : 510-352-6484
Fax Number : 510-352-2095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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