Individual
MR. FREDERICK NICHOLAS IFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 985-4448
(215) 985-4952
Mailing address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 985-4448
(215) 985-4952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD012196E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00835144
—
PA
Enumeration date
03/20/2007
Last updated
07/09/2007
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