Henretig, Fred M

Henretig, Fred M is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - Medical Toxicology, Philadelphia PA 19104-4319. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Henretig, Fred M can be contacted via phone (215) 590-1944.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - Medical Toxicology Philadelphia PA 19104-4319
Phone: (215) 590-1944
Fax: (215) 590-4454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD017526E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD017526E Pennsylvania
Allopathic & Osteopathic Physicians / Medical Toxicology 2080T0002X MD017526E Pennsylvania

Profile Details

NPI number 1053334862
LBN Legal business name Henretig, Fred M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053334862 NPPES
New Jersey MEDICAID 3618501
New Jersey MEDICAID 000764267

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