Provider Demographics
NPI:1508852112
Name:DALMASY-FROUIN, JOHANNES G (MD)
Entity Type:Individual
Prefix:
First Name:JOHANNES
Middle Name:G
Last Name:DALMASY-FROUIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 GREENSPRING AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4216
Mailing Address - Country:US
Mailing Address - Phone:410-375-5058
Mailing Address - Fax:
Practice Address - Street 1:2 RESERVOIR CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6393
Practice Address - Country:US
Practice Address - Phone:410-653-2647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00478332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry