Provider Demographics
NPI:1467426007
Name:FRONCZEK, WILLIAM M JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:FRONCZEK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4160 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2533
Mailing Address - Country:US
Mailing Address - Phone:724-941-1466
Mailing Address - Fax:724-941-6310
Practice Address - Street 1:4160 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2533
Practice Address - Country:US
Practice Address - Phone:724-941-1466
Practice Address - Fax:724-941-6310
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009585E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000165577OtherHIGHMARK BLUE CROSS/BLUE
PA102471OtherUPMC
PA001724776Medicaid
PA102471OtherUPMC
PA001724776Medicaid