Provider Demographics
NPI:1346335809
Name:FRYE, SCOTT HOAN (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:HOAN
Last Name:FRYE
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 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:609-893-3133
Mailing Address - Fax:609-893-7972
Practice Address - Street 1:130 LAKEHURST RD STE A
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-6057
Practice Address - Country:US
Practice Address - Phone:609-893-3133
Practice Address - Fax:609-893-7972
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96710207R00000X, 2083A0100X
IN01064569A2083A0100X
NJ25MA11730100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine