# THERESA MARIE TRETTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528110244
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 197268 | NY | — |
| 207W00000X | Ophthalmology Physician | MD16398 | RI | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0100703 | AMERICHOICE | — |
| 05 | — | 01860122 | — | NY |
| 01 | — | 0498535 | GHI | — |
| 01 | — | 11006585 | ACS MULTIPLAN | — |
| 01 | — | 1926266 | UNITED | — |
| 01 | — | 197268A40 | HEALTHFIRST | — |
| 01 | — | 32259P | HIP | — |
| 01 | — | 396067 | CONNECTICARE | — |
| 01 | — | 421B01 | BCBS | NY |
| 01 | — | 4C3021 | HEALTHNET | — |
| 01 | — | 5490713 | AETNA | — |
| 01 | — | 7860722 | CIGNA | — |
| 01 | — | P1497267 | OXFORD | NY |
| 01 | — | TT7268 | ATLANTIS | — |