Organization
FREMONT EMERGENCY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G. HOLTZCLAW MD (OWNER)
(856) 686-4317
Entity
Organization
Contact information
Practice address
715 S TAFT AVE, FREMONT, OH 43420-3237
(419) 332-7331
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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