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Individual

A GERALD FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
824 MAIN ST, SUITE 206, MOB 1, PHOENIXVILLE, PA 19460-4478
(610) 983-1715
(610) 422-5442
Mailing address
824 MAIN ST, SUITE 206, MOB 1, PHOENIXVILLE, PA 19460-4478
(610) 983-1715
(610) 422-5442

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD027125E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001169
AETNA
PA
05
00085761500012
PA
01
097208-008
CIGNA HMO/PPO
PA
Enumeration date
06/05/2006
Last updated
04/10/2014
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