Individual
ALEXANDER FRUCHTER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 EAST MAIN ST #4, MIDDLETOWN, NY 10940-2578
(845) 381-5109
(845) 531-4882
Mailing address
450 EAST MAIN ST #4, VITAL SIGNS MEDICAL ASSOC, MIDDLETOWN, NY 10940-2578
(845) 381-5109
(845) 531-4882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168696
NY
207RP1001X
Pulmonary Disease Physician
Primary
168696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01172527
—
NY
01
—
200050512
MVP
NY
01
—
434CK1
EMPIRE BCBS
—
Enumeration date
05/20/2006
Last updated
07/17/2012
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