Provider Demographics
NPI:1699837286
Name:FRISHMAN, GERALD NEIL (OD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:NEIL
Last Name:FRISHMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:181 THOMAS JOHNSON DR STE B
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-5186
Mailing Address - Country:US
Mailing Address - Phone:301-662-5474
Mailing Address - Fax:301-663-5955
Practice Address - Street 1:181 THOMAS JOHNSON DR STE B
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-5186
Practice Address - Country:US
Practice Address - Phone:301-662-5474
Practice Address - Fax:301-663-5955
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0861152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management