Provider Demographics
NPI:1801000815
Name:ABRUZZO, FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:
Last Name:ABRUZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FREDERICK
Other - Middle Name:
Other - Last Name:ABRUZZO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1447A STEVENSON ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2424
Mailing Address - Country:US
Mailing Address - Phone:415-517-4200
Mailing Address - Fax:
Practice Address - Street 1:1447A STEVENSON ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2424
Practice Address - Country:US
Practice Address - Phone:415-517-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA799482086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand