Active NPIIndividual providerSole proprietor

Carl L De Fronzo, DO

General Practice in Springfield, New Jersey

NPI Number1730415407
Practice location
216 Short Hills Ave, Springfield, NJ 07081-1010
Fax
973-912-4367
Last updated
October 19, 2010

Carl Lance De Fronzo is a General Practice based in Springfield, NJ. Carl Lance De Fronzo practices in Springfield, NJ and has the professional credentials of DO. The NPI Number for Carl Lance De Fronzo is 1730415407 and holds a License No. 25MB05555100 (NJ). The current practice location address for Carl Lance De Fronzo is 216 Short Hills Ave, Springfield, NJ 07081-1010 and can be reached out via phone at 973-376-7838 and via fax at 973-912-4367.

Provider Profile Details

NPI Number
1730415407
Provider Name
Carl Lance De Fronzo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
216 Short Hills Ave, Springfield, NJ 07081-1010
Phone Number
973-376-7838
Fax Number
973-912-4367
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 30, 2009
Last Update Date
October 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
216 Short Hills Ave
Springfield, NJ 07081-1010
Zip
07081-1010
Phone Number
973-376-7838
Fax Number
973-912-4367
Springfield, NJ 07081Get directions →

Provider Business Mailing Address Details

Address
216 Short Hills Ave
Springfield, NJ 07081-1010
City
Springfield
State
NJ
Zip
07081-1010
Phone Number
973-376-7838
Fax Number
973-912-4367

License Information

License Number (1)
25MB05555100
License State (1)
NJ
Taxonomy (1)
Obstetrics & Gynecology · 207V00000X
License Number (2)
25mb05555100
License State (2)
NJ
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carl L De Fronzo, DO?

The NPI number of Carl L De Fronzo, DO is 1730415407. It was assigned on October 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Carl L De Fronzo, DO?

Carl L De Fronzo, DO is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MB05555100.

Where does Carl L De Fronzo, DO practice?

The practice location is 216 Short Hills Ave, Springfield, NJ 07081-1010. The office can be reached at 973-376-7838 (phone) or 973-912-4367 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730415407 directly on the NPPES registry website.

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