Individual
MR. DOUGLAS E FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
231 AVON RD, NARBERTH, PA 19072
(267) 263-0657
(267) 263-0667
Mailing address
615 W MAIN ST, LANSDALE, PA 19446-2011
(610) 940-2604
(610) 940-2605
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN247115L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7660353
—
PA
Enumeration date
02/28/2006
Last updated
07/19/2016
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