Provider Demographics
NPI:1447202783
Name:FRYE, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:FRYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:230 NORTH CRAIG STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-621-3777
Mailing Address - Fax:412-622-7595
Practice Address - Street 1:11676 PERRY HIGHWAY
Practice Address - Street 2:SUITE 2100
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:724-934-7722
Practice Address - Fax:724-934-5955
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045539L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000939096Medicaid
PA621660OtherBCBS
PA000939096Medicaid
PA621660OtherBCBS