Provider Demographics
NPI:1730190828
Name:FRAMM, STUART ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ROSS
Last Name:FRAMM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5141 BROADWAY
Mailing Address - Street 2:RM. 3-005
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1159
Mailing Address - Country:US
Mailing Address - Phone:212-932-5190
Mailing Address - Fax:212-932-5081
Practice Address - Street 1:5141 BROADWAY
Practice Address - Street 2:RM. 3-005
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1159
Practice Address - Country:US
Practice Address - Phone:212-932-5190
Practice Address - Fax:212-932-5081
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194609207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01813932Medicaid
NY24N051Medicare PIN
NYG49894Medicare UPIN