MEDICARE: JENNIFER S FRONDA PA

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	363A00000X	Physician Assistant	OA002710	PA

General Provider Information

NPI Number	:	1487935441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER S FRONDA PA

Provider Business Mailing Address
First Line	:	PO BOX 488
Second Line	:
City	:	MORGANTOWN
State	:	PA
Zip	:	19543-0488
Country	:	US
Telephone Number	:	610-286-9064
Fax Number	:	610-826-7832

Provider Business Practice Location Address
First Line	:	4103 MAIN ST
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9378
Country	:	US
Telephone Number	:	610-286-9064
Fax Number	:	610-286-7832

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

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	04/09/2015

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Directions to “ JENNIFER S FRONDA PA” Practice Location

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