MEDICARE: DR. WILLIAM M FRONCZEK JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD009585E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000165577	OTHER	PA	HIGHMARK BLUE CROSS/BLUE
2	102471	OTHER	PA	UPMC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467426007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM M FRONCZEK JR. M.D.

Provider Business Mailing Address
First Line	:	4160 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:	724-941-1466
Fax Number	:	724-941-6310

Provider Business Practice Location Address
First Line	:	4160 WASHINGTON RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:	724-941-1466
Fax Number	:	724-941-6310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/15/2010

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