Provider Demographics
NPI:1699732784
Name:FRUMIN, VERA LYNNE (MD)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:LYNNE
Last Name:FRUMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:625 WEST RIDGE PIKE
Mailing Address - Street 2:BLDG A SUITE 300
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428
Mailing Address - Country:US
Mailing Address - Phone:610-825-1994
Mailing Address - Fax:610-825-2949
Practice Address - Street 1:625 WEST RIDGE PIKE
Practice Address - Street 2:BLDG A SUITE 300
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428
Practice Address - Country:US
Practice Address - Phone:610-825-1994
Practice Address - Fax:610-825-2949
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2021-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD028494E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics