Individual
FREDERICKA C TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1018 NORTH BETHLEHEM PIKE SUITE 200B, SPRINGHOUSE, PA 19477
(215) 643-9151
(215) 836-1087
Mailing address
6113 WEST MILL RD, FLOURTOWN, PA 19031
(215) 643-9151
(215) 836-1087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD011929E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B004643700
BCBS
PA
Enumeration date
04/02/2008
Last updated
08/27/2008
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