Provider Demographics
NPI:1659454312
Name:FREDERICK STRUTHERS, D.O.P.C.
Entity Type:Organization
Organization Name:FREDERICK STRUTHERS, D.O.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRUTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-343-8410
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-0122
Mailing Address - Country:US
Mailing Address - Phone:215-343-8410
Mailing Address - Fax:215-491-9744
Practice Address - Street 1:2244 YORK ROAD
Practice Address - Street 2:
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-0122
Practice Address - Country:US
Practice Address - Phone:215-343-8410
Practice Address - Fax:215-491-9744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003741L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty