Provider Demographics
NPI:1699140525
Name:DEBORAH A. FRITZ, M.D. LLC
Entity type:Organization
Organization Name:DEBORAH A. FRITZ, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-984-3313
Mailing Address - Street 1:10550 MONTGOMERY RD STE 23
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4422
Mailing Address - Country:US
Mailing Address - Phone:513-984-3313
Mailing Address - Fax:513-984-4698
Practice Address - Street 1:10550 MONTGOMERY RD STE 23
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4422
Practice Address - Country:US
Practice Address - Phone:513-984-3313
Practice Address - Fax:513-984-4698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35049127261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty