Provider Demographics
NPI:1437503547
Name:FRUGE, CAROLINE A (DPM)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:A
Last Name:FRUGE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HUDSON ST BSMT
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5630
Mailing Address - Country:US
Mailing Address - Phone:201-659-5222
Mailing Address - Fax:
Practice Address - Street 1:4328 47TH ST
Practice Address - Street 2:C36
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1774
Practice Address - Country:US
Practice Address - Phone:337-322-6813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00350200213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist