Fry, Robert D

Fry, Robert D is an individual health care provider with primary practice located at 3400 Spruce St 4 Silverstein Bldg, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Fry, Robert D can be contacted via phone (215) 662-2050.

Contact Information

Primary practice address
3400 Spruce St 4 Silverstein Bldg Philadelphia PA 19104
Phone: (215) 662-2050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD05198 Pennsylvania

Profile Details

NPI number 1336171636
LBN Legal business name Fry, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 14th, 2011 - about 13 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 1336171636 NPPES
Pennsylvania MEDICAID 0014506620005

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