Provider Demographics
NPI:1649245200
Name:FROMAN, STEPHEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:FROMAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:301 OHIO RIVER BLVD
Mailing Address - Street 2:SUITE 202A EDGEWORTH MEDICAL COMMONS
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143
Mailing Address - Country:US
Mailing Address - Phone:412-741-2122
Mailing Address - Fax:412-741-5417
Practice Address - Street 1:301 OHIO RIVER BLVD
Practice Address - Street 2:SUITE 202 EDGEWORTH MEDICAL COMMONS
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143
Practice Address - Country:US
Practice Address - Phone:412-741-2122
Practice Address - Fax:412-741-5417
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2020-10-01
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD016802E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0680200Medicaid
PAFR114503Medicare ID - Type Unspecified
PA0680200Medicaid