Individual
MR. JEFFREY SCOTT FRATTALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10910 LITTLE PATUXENT PKWY STE 205, COLUMBIA, MD 21044-3092
(410) 772-0707
(410) 772-5654
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(209) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0002283
MD
363AM0700X
Medical Physician Assistant
Primary
C0002283
MD
Other
Enumeration date
09/28/2006
Last updated
04/05/2022
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