Provider Demographics
NPI:1750877502
Name:FROMER, DEVON (MD)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:FROMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1245 HIGHLAND AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3727
Mailing Address - Country:US
Mailing Address - Phone:215-887-5934
Mailing Address - Fax:215-481-3481
Practice Address - Street 1:1245 HIGHLAND AVE STE 600
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3727
Practice Address - Country:US
Practice Address - Phone:215-887-5934
Practice Address - Fax:215-481-3481
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD4781392086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program