Individual
DR. JAMES R FRUEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
326 N MAIN ST, MOSCOW, PA 18444-9003
(570) 689-7784
Mailing address
PO BOX 345, MOSCOW, PA 18444-0345
(570) 842-9664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025355L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010729620001
—
PA
Enumeration date
12/05/2006
Last updated
07/08/2007
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