Individual
GLADYS FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
694 GOOD DR, SUITE 11, LANCASTER, PA 17601-2433
(717) 544-3737
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD057646L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209643
UNISON
PA
01
—
000891378
HIGHMARK
PA
05
—
001598026
—
PA
01
—
0124457000
INDEPENDENCE BLUE CROSS
PA
01
—
1509397
AETNA-HMO
PA
01
—
20061140
MERCY
PA
01
—
50065912
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
7660045
AETNA-NON HMO
PA
01
—
8107462
CIGNA
PA
Enumeration date
03/07/2006
Last updated
04/12/2011
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