Healthcare Provider Details

I. General information

NPI: 1487652012
Provider Name (Legal Business Name): NORMAN JAMES FREY III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BROWNSVILLE RD STE B
PITTSBURGH PA
15227-2469
US

IV. Provider business mailing address

3000 BROWNSVILLE RD STE B
PITTSBURGH PA
15227-2469
US

V. Phone/Fax

Practice location:
  • Phone: 412-381-4200
  • Fax: 412-224-2738
Mailing address:
  • Phone: 412-381-4200
  • Fax: 412-224-2738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberOS004690L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: