Healthcare Provider Details

I. General information

NPI: 1801898150
Provider Name (Legal Business Name): ROBERT R FRANGER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 MAIN ST
SHREWSBURY MA
01545-5639
US

IV. Provider business mailing address

626 MAIN ST
SHREWSBURY MA
01545-5639
US

V. Phone/Fax

Practice location:
  • Phone: 508-842-7910
  • Fax: 508-845-1614
Mailing address:
  • Phone: 508-842-7910
  • Fax: 508-845-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1589
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: