Individual
DR. MICHAEL STANLEY FRUCHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9418 LAGO DR, BOYNTON BEACH, FL 33472-2752
(561) 523-0351
Mailing address
12450 VAN NUYS BLVD STE 200, PACOIMA, CA 91331-1393
(818) 896-1161
(818) 896-5069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
164771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
04/05/2010
Last updated
02/07/2018
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