Fred M Henretig
M.D. | Pediatric Emergency Medicine | Male
Fred M Henretig, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Fred M Henretig is
3401 Civic Center Blvd, Children's Hospital Of Phila - Medical Toxicology, Philadelphia, Pennsylvania - 19104-4319. He can be contacted on phone at
215-590-1944 and fax number 215-590-4454.
Fred M Henretig is a sole proprietor of his business.
NPI number (Unique professional ID) for Fred M Henretig is
1053334862 which was assigned by NPPES on 25 Jul, 2006 and it was last updated on 19 Apr, 2013.
Fred M Henretig license number is
MD017526E for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Pennsylvania.
Fred M Henretig has special qualifications to manage emergencies in infants and children.
Complete Profile:
Fred M Henretig basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Fred M Henretig |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Fred M Henretig address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3401 Civic Center Blvd, Children's Hospital Of Phila - Medical Toxicology
Philadelphia, PA, 19104-4319
United States |
|---|
| Phone Number : | 215-590-1944 |
|---|
| Fax Number : | 215-590-4454 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053334862 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 25 Jul, 2006 |
|---|
| Last Updated On : | 19 Apr, 2013 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fred M Henretig are as mentioned. Primary taxonomy code for Fred M Henretig, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD017526E | PA |
| 2080T0002X | Pediatrics Medical Toxicology | No | MD017526E | PA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD017526E | PA |
Legacy Identifiers:
Other legacy medical identifiers of Fred M Henretig such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000764267 | MEDICAID | PA | |
| 3618501 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 E Penn Sq, 9th Floor
Philadelphia, PA, 19107-3323
United States |
|---|
| Phone Number : | 267-425-9234 |
|---|
| Fax Number : | 267-425-9299 |
|---|
Business Location:
Patients can refer following map for directions to
Fred M Henretig practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.