Individual
DR. BERNARD T FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HIGHLANDER WAY, MANCHESTER, NH 03103
(603) 314-4771
Mailing address
19 KRISTIN DR, DERRY, NH 03038-5619
(603) 314-4771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
103444
MO
207Q00000X
Family Medicine Physician
Primary
103444
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207335001
—
MO
01
—
P00765838
RAILROAD MEDICARE
MO
Enumeration date
05/04/2006
Last updated
12/12/2018
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