David Fretzin in Park Ridge - Dermatopathology

David Fretzin - NPI 1891784401

David Fretzin is a Dermatopathology in Park Ridge, Illinois. David Fretzin practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for David Fretzin is 1891784401. The last update date is 2016-03-25.

David Fretzin's current location address is 41 S Prospect Ave, Park Ridge, Illinois. You can contact this provider via phone number 8478234113 and fax number 8478230059. The mailing address for David Fretzin is 41 S Prospect Ave, Park Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David Fretzin
Address 41 S Prospect Ave, Park Ridge, Illinois
Phone Number 8478234113
Fax Number 8478230059
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1891784401
Provider Enumeration Date 2005-10-17
Last Updated Date 2016-03-25

Provider Mailing Address Detail

Address 41 S Prospect Ave
City Park Ridge
State Illinois (IL)
Post Code 600684138
Phone Number 8478234113
Fax Number 8478230059

Provider's Primary Taxonomy Detail

Speciality Dermatopathology
Taxonomy 207Nd0900X
Licence No 36038658
Definition:
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
161521967 IL BCBS OF IL PIN
70003505 IL RR MEDICARE

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FAQs about David Fretzin

What is the unique 10-digit identifier code issued to David Fretzin by the Centers for Medicare & Medicaid Services?

The David Fretzin has been assigned the NPI (National Provider Identifier) 1891784401 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where David Fretzin's facilities are geographically located?

The facilities of David Fretzin are physically situated at the following location: 41 S Prospect Ave, Park Ridge, IL, 600684138.

What is the David Fretzin's area of specialization and corresponding taxonomy classification?

The David Fretzin's specialty field is Dermatopathology, and it falls under the taxonomy code 207Nd0900X, which categorizes healthcare providers based on their specialties.

When did the David Fretzin receive its 1891784401?

The David Fretzin was issued its 1891784401 on 2005-10-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to David Fretzin most recently updated or revised?

The information pertaining to David Fretzin, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-25.

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