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NPI Code Detail

MEDICARE: DR. KELLY ANN FRYS D.O.

MEDICARE: DR. KELLY ANN FRYS D.O.
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
1207V00000XObstetrics & Gynecology Physician25MB09337900NJ

General Provider Information

NPI Number : 1588923833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY ANN FRYS D.O.
Provider Business Mailing Address
First Line : 50 SAND HILL RD
Second Line :
City : ANNANDALE
State : NJ
Zip : 08801-3112
Country : US
Telephone Number : 917-981-9979
Fax Number :
Provider Business Practice Location Address
First Line : 4 WALTER E FORAN BLVD STE 302
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4668
Country : US
Telephone Number : 908-806-0080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2012
Last Update Date : 02/21/2025

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Directions to “ DR. KELLY ANN FRYS D.O.” Practice Location

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