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Individual

NEAL H FRAUWIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
763 LARKFIELD RD FL 2, COMMACK, NY 11725
(631) 462-2225
(631) 670-2643
Mailing address
763 LARKFIELD RD FL 2, COMMACK, NY 11725-3131
(631) 462-2225
(631) 670-2643

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
209422-1
NY
208VP0000X
Pain Medicine Physician
42862
TN
208VP0014X
Interventional Pain Medicine Physician
209422-1
NY
208VP0014X
Interventional Pain Medicine Physician
42862
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3000998
TN
01
4168373
BCBS
TN
Enumeration date
06/10/2005
Last updated
07/03/2018
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