Provider Demographics
NPI:1821183963
Name:FRAIMOW, HENRY S (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:S
Last Name:FRAIMOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 FELLOWSHIP RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3419
Mailing Address - Country:US
Mailing Address - Phone:856-963-3572
Mailing Address - Fax:856-338-9211
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 513 (INFECTIOUS DISEASE)
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-963-3715
Practice Address - Fax:856-635-1052
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2010-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA72462207RI0200X
PAMD043939E207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ440003560OtherRAILROAD MEDICARE
NJ010003724 00OtherAMERICHOICE
NJ2634700OtherAETNA US HEALTHCARE
NJ3K6205OtherHEALTHNET, INC
NJ1328952OtherAMERIHEALTH HMO
NJ1328952OtherPENNSYLVANIA BLUE CROSS
NJ2022401000OtherAMERIHEALTH HMO
NJ6962807Medicaid
NJ774898OtherUNITED HEALTH CARE
NJP2548176OtherOXFORD HEALTH PLAN
NJ1143463OtherHORIZON NJ HEALTH
NJ1328952OtherINDEPENDENCE BLUE CROSS
NJ30276OtherUNIVERSITY HEALTH PLAN
NJ440003560OtherRAILROAD MEDICARE
NJ053537Medicare ID - Type Unspecified
NJ053537Medicare PIN