Frizzera, John Gordon

Frizzera, John Gordon is an sole proprietor health care provider with primary practice located at 7401 Osler Dr Suite 205, Towson MD 21204-7673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Frizzera, John Gordon can be contacted via phone (410) 828-8077.

Contact Information

Primary practice address
7401 Osler Dr Suite 205 Towson MD 21204-7673
Fax: (410) 828-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D004288 Maryland

Profile Details

NPI number 1780640755
LBN Legal business name Frizzera, John Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Apr 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780640755 NPPES
Maryland MEDICAID 026521700

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