Individual
CARL LANCE DE FRONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
216 SHORT HILLS AVE, SPRINGFIELD, NJ 07081-1010
(973) 376-7838
(973) 912-4367
Mailing address
216 SHORT HILLS AVE, SPRINGFIELD, NJ 07081-1010
(973) 376-7838
(973) 912-4367
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MB05555100
NJ
208D00000X
General Practice Physician
Primary
25MB05555100
NJ
Other
Enumeration date
10/30/2009
Last updated
10/19/2010
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