Provider Demographics
NPI:1710947288
Name:FRONDUTI, ROBERT L (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:FRONDUTI
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 1:1 BIGELOW SQ
Mailing Address - Street 2:SUITE 729
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3030
Mailing Address - Country:US
Mailing Address - Phone:412-284-1360
Mailing Address - Fax:
Practice Address - Street 1:1 BIGELOW SQ
Practice Address - Street 2:SUITE 729
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3030
Practice Address - Country:US
Practice Address - Phone:412-284-1360
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009416E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1711301Medicaid
PA1711301Medicaid
PAE63626Medicare UPIN