Provider Demographics
NPI:1669117735
Name:FRAIMAN, AVIV (DO)
Entity type:Individual
Prefix:
First Name:AVIV
Middle Name:
Last Name:FRAIMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AVIV
Other - Middle Name:
Other - Last Name:FRAIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:III MARINE EXPEDITIONARY FORCE SURGEON
Mailing Address - Street 2:UNIT 35605
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96382
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:III MARINE EXPEDITIONARY FORCE SURGEON
Practice Address - Street 2:UNIT 35605
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96382
Practice Address - Country:US
Practice Address - Phone:954-881-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102208114208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice