Individual
DAVID FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
212 W ROUTE 38 STE 400, MOORESTOWN, NJ 08057-3259
(856) 235-0264
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00548100
NJ
Other
Enumeration date
10/09/2019
Last updated
09/20/2021
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