Individual
DOUGLAS ALAN FRONZAGLIA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4002 SCHAPER AVE, ERIE, PA 16508-3358
(814) 866-2311
(877) 835-7445
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS011811
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS011811
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019469520005
—
PA
05
—
0019469520006
—
PA
05
—
0019469520007
—
PA
Enumeration date
07/21/2005
Last updated
02/21/2023
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