Individual
JONATHAN K FROGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
3400 SPRUCE STREET, 3 DULLES, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301087344
MI
207L00000X
Anesthesiology Physician
Primary
MD425969
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050H262180
BLUE CROSS-BLUE CROSS
—
05
—
488407610
—
MI
01
—
JF087344
CHAMPUS-CHAMPUS
—
Enumeration date
08/05/2006
Last updated
11/28/2011
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