Provider Demographics
NPI:1205891769
Name:FROIMSON, AVRUM I (MD)
Entity type:Individual
Prefix:DR
First Name:AVRUM
Middle Name:I
Last Name:FROIMSON
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 1:26900 CEDAR RD
Mailing Address - Street 2:SUITE 305 SOUTH
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1191
Mailing Address - Country:US
Mailing Address - Phone:216-839-3734
Mailing Address - Fax:216-839-3727
Practice Address - Street 1:26900 CEDAR RD
Practice Address - Street 2:SUITE 305 SOUTH
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1191
Practice Address - Country:US
Practice Address - Phone:216-839-3734
Practice Address - Fax:216-839-3727
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35022540F207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0024020Medicaid
OHA70217Medicare UPIN
OH0024020Medicaid