Provider Demographics
NPI:1346374113
Name:PETER-FRITTS, DONNY MATHEW (MD)
Entity type:Individual
Prefix:
First Name:DONNY
Middle Name:MATHEW
Last Name:PETER-FRITTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DONNY
Other - Middle Name:MATHEW
Other - Last Name:PETER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:MC CA410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-5208
Mailing Address - Fax:717-531-0119
Practice Address - Street 1:4230 CRUMS MILL RD STE 100
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2898
Practice Address - Country:US
Practice Address - Phone:717-233-6171
Practice Address - Fax:717-233-7880
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD459009207R00000X
SCLL 28236207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine