Individual
ROBERT D FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 4 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104
(215) 662-2050
Mailing address
3400 SPRUCE ST, 4 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD05198
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014506620005
—
PA
Enumeration date
07/07/2006
Last updated
02/14/2011
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