Healthcare Provider Details

I. General information

NPI: 1467426007
Provider Name (Legal Business Name): WILLIAM M FRONCZEK JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 WASHINGTON RD
MC MURRAY PA
15317-2533
US

IV. Provider business mailing address

4160 WASHINGTON RD
MC MURRAY PA
15317-2533
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-1466
  • Fax: 724-941-6310
Mailing address:
  • Phone: 724-941-1466
  • Fax: 724-941-6310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD009585E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier000165577
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE CROSS/BLUE
# 2
Identifier102471
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC
# 3
Identifier001724776
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: