Provider Demographics
NPI:1144211400
Name:FRUMAN, DALE BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:BERNARD
Last Name:FRUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 W MAIN ST
Mailing Address - Street 2:SUITE 704
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3309
Mailing Address - Country:US
Mailing Address - Phone:724-439-9698
Mailing Address - Fax:724-439-9701
Practice Address - Street 1:50 W MAIN ST
Practice Address - Street 2:SUITE701
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3309
Practice Address - Country:US
Practice Address - Phone:724-439-9698
Practice Address - Fax:724-439-9701
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009842E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0868978Medicaid
PAB35920Medicare UPIN
PA093528Medicare ID - Type Unspecified