Individual
DR. JOHN FRESE
Active
Individual
DR. JOHN FRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
031797
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010031797CT01
BLUECROSS
CT
05
—
1317975
—
CT
Enumeration date
04/20/2006
Last updated
12/19/2012
Update your record
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