| Doctor Name: | DR. MARIA ISABEL BERMUDEZ-FRESSE |
| NPI Number: | 1790993038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 16691 |
| Business Practice Address: | 580 Lincoln Park Blvd Suite #111 Kettering, OH - 454293474 |
| Business Phone Number: | 9372426132 |
| Business Fax Number: | 6145596737 |
| Mailing Address: | 200 Thruston Blvd E, DAYTON |
| State: | OH |
| Postal Code: | 454193922 |
| Phone Number: | 9379386686 |
| Fax Number: | 6145596737 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 09/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16691 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |