Provider Demographics
NPI:1639456882
Name:H. CRAIG FROONJIAN
Entity Type:Organization
Organization Name:H. CRAIG FROONJIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:H.
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:FROONJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-265-2252
Mailing Address - Street 1:1 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-2658
Mailing Address - Country:US
Mailing Address - Phone:201-265-2252
Mailing Address - Fax:201-265-1177
Practice Address - Street 1:1 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2658
Practice Address - Country:US
Practice Address - Phone:201-265-2252
Practice Address - Fax:201-265-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01623900332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies