Provider Demographics
NPI:1164307252
Name:FRIMPONG, PETER KWABENA
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:KWABENA
Last Name:FRIMPONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-1826
Mailing Address - Country:US
Mailing Address - Phone:347-450-4629
Mailing Address - Fax:
Practice Address - Street 1:220 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:NJ
Practice Address - Zip Code:08010-1826
Practice Address - Country:US
Practice Address - Phone:347-450-4629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker