Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS027921L | PA |
NPI | 1235258120 |
---|---|
Provider Name | Dr. Howard Paul Fraiman |
First Address | Philadelphia, PA 19110-1023 |
Second Address | Philadelphia, PA 19110-1023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 08/07/2007 |