Provider Demographics
NPI:1982642047
Name:FRUMAN, NEIL S (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:S
Last Name:FRUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P.O. BOX 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:3466 MT DIABLO BLVD
Practice Address - Street 2:SUITE C-104
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-7106
Practice Address - Country:US
Practice Address - Phone:925-284-4442
Practice Address - Fax:925-283-8687
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG38040207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G380400Medicaid
CAA47330Medicare UPIN
CA00G380400Medicaid
CA00G380402Medicare PIN