Provider Demographics
NPI:1982940003
Name:FRITER, DARA JENNA (DPM)
Entity Type:Individual
Prefix:
First Name:DARA
Middle Name:JENNA
Last Name:FRITER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:DARA
Other - Middle Name:JENNA
Other - Last Name:SHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:684 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2514
Mailing Address - Country:US
Mailing Address - Phone:610-269-0800
Mailing Address - Fax:
Practice Address - Street 1:684 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2514
Practice Address - Country:US
Practice Address - Phone:610-269-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2016-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00315500213E00000X
PASC006258213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist