Individual
MARY JENNIFER FRATTALI
Active
Individual
MARY JENNIFER FRATTALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD047963L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001393010
—
PA
01
—
078837
FIRST PRIORITY HEALTH
—
01
—
13683
GEISINGER HEALTH PLAN
—
01
—
180018745
RAILROAD MEDICARE
—
01
—
506554
AETNA
—
01
—
FR427966
HIGH MARK BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
12/01/2022
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