Healthcare Provider Details

I. General information

NPI: 1750877502
Provider Name (Legal Business Name): DEVON FROMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD STE 1E20
NEWARK DE
19718-2200
US

IV. Provider business mailing address

1245 HIGHLAND AVE STE 600
ABINGTON PA
19001-3727
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-5700
  • Fax: 302-733-5775
Mailing address:
  • Phone: 215-887-5934
  • Fax: 215-481-3481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberC1-0029729
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD478139
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: