Individual
FREDERIC MARC HEITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 SCHANCK ROAD, SUITE A-12, FREEHOLD, NJ 07728-2963
(732) 577-5525
(732) 577-0045
Mailing address
55 SCHANCK ROAD, SUITE A-12, FREEHOLD, NJ 07728-2963
(732) 577-5525
(732) 577-0045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA04253000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1429604
—
NJ
Enumeration date
08/28/2006
Last updated
09/21/2007
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