Provider Demographics
NPI:1235137746
Name:FROMMER, JAMES FREDRICK JR (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FREDRICK
Last Name:FROMMER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CARSON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-8055
Mailing Address - Country:US
Mailing Address - Phone:582-465-7008
Mailing Address - Fax:
Practice Address - Street 1:125 CARSON VALLEY RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8055
Practice Address - Country:US
Practice Address - Phone:582-465-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2024-06-18
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
PA009673-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine