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Individual
STEPHANIE H FRETZ
Active
Individual
STEPHANIE H FRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010057901
UNIVERA
NY
01
—
000523863001
BC/BS
NY
05
—
01650600
—
NY
01
—
040426001735
FIDELIS
NY
01
—
1207908
INDEPENDENT HEALTH
NY
Enumeration date
09/20/2006
Last updated
01/11/2010
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