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General NPI Number Information
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NPI Number | 1154781334
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Entity Type | Organization
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Legal Business Name | DR. EDEN FROMBERG, DO
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 197 GRAND ST 3E
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City | NEW YORK
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State | NY
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Zip | 10013-3790
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Country | US
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Telephone | 212-343-8053
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Fax | 212-343-8055
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Provider Business Mailing Address
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Address Line | 166 5TH AVE 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-5909
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Country | US
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Telephone | 212-343-8053
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Fax | 212-343-8055
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. EDEN G FROMBERG
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Credential | DO
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Telephone | 212-343-8053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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