Healthcare Provider Details

I. General information

NPI: 1114246733
Provider Name (Legal Business Name): JOSEPH FRAGER, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2010
Last Update Date: 05/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 VAN CORTLANDT AVE E
BRONX NY
10467-3011
US

IV. Provider business mailing address

277 VAN CORTLANDT AVE E
BRONX NY
10467-3011
US

V. Phone/Fax

Practice location:
  • Phone: 718-798-8867
  • Fax:
Mailing address:
  • Phone: 718-798-8867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH DANIEL FRAGER
Title or Position: PRESIDENT
Credential: MD
Phone: 718-798-8867