Individual
GREGORY DICKSON FRATTAROLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
Mailing address
1815 JOHN F KENNEDY BLVD, APT #1103, PHILADELPHIA, PA 19103-1731
(484) 557-8081
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C7-0003776
DE
207P00000X
Emergency Medicine Physician
Primary
MD439085
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0694193
—
NJ
Enumeration date
06/12/2007
Last updated
06/21/2023
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