Organization Name: | BRUCE M FROME, MD, INC. |
NPI Number: | 1659549335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE M FROME (PRESIDENT) |
Mailing Address: | 415 N Crescent Dr Suite 230 Beverly Hills |
State: | CA US |
Postal Code: | 902104860 |
Phone Number: | 3102885968 |
Fax Number: | 3102885950 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G8667 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |