Provider Demographics
NPI:1891844387
Name:JOHN P FRITZ DO PC
Entity Type:Organization
Organization Name:JOHN P FRITZ DO PC
Other - Org Name:PEQUEST FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-475-9990
Mailing Address - Street 1:500 GREENWICH ST
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-1409
Mailing Address - Country:US
Mailing Address - Phone:908-475-9990
Mailing Address - Fax:908-475-9993
Practice Address - Street 1:500 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1409
Practice Address - Country:US
Practice Address - Phone:908-475-9990
Practice Address - Fax:908-475-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06183400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ443234Medicare ID - Type Unspecified
NJ053627Medicare ID - Type Unspecified