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Individual

DR. STUART J FROUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,

Contact information

Practice address
17 W 54TH ST STE 1C/D, NEW YORK, NY 10019-5404
(212) 586-4209
(212) 246-7599
Mailing address
17 W 54TH ST STE 1C/D, NEW YORK, NY 10019-5404
(212) 586-4209
(212) 246-7599

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
028454
NY

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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