Individual
FREDRIC M MINTZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1517 DURHAM RD, PENNDEL, PA 19047-5707
(215) 752-1541
(215) 752-7195
Mailing address
4041 S WARNER RD, LAFAYETTE HILL, PA 19444-1421
(610) 828-4428
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD022742E
PA
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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