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Individual

DR. JOHN W FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
545 N RIVER ST, SUITE 100, WILKES BARRE, PA 18702-2600
(570) 288-6616
(570) 288-6860
Mailing address
545 N RIVER ST, SUITE 100, WILKES BARRE, PA 18702-2600
(570) 288-6616
(570) 288-6860

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD017900E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008931840007
PA
Enumeration date
06/27/2006
Last updated
07/08/2007
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