Healthcare Provider Details

I. General information

NPI: 1871904573
Provider Name (Legal Business Name): DAVID BENGAMIN FROMBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 W FAYETTE ST
BALTIMORE MD
21223-1938
US

IV. Provider business mailing address

1205 YORK RD STE 11
TIMONIUM MD
21093-6211
US

V. Phone/Fax

Practice location:
  • Phone: 443-325-0031
  • Fax:
Mailing address:
  • Phone: 443-325-0031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number89989475
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0086455
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: