NPI Registry.org

Charles Walker Fry

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHARLES WALKER FRY17508125172022-06-26

Charles Walker Fry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750812517. Registration indicates Charles Walker Fry is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Radiology (Radiology: Pediatric Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Pediatric Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Charles Walker Fry M.D.
Practice Office Address3401 CIVIC CENTER BLVD
PHILADELPHIA, PA US
Practice Office Telephone2155902564
Mailing Address3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 191044319 US
Business Telephone2155902564
Offices / Locations
AddressCity / StatePhone / Fax
5 Perryridge Rd Greenwich, CT 068304608 2038633408 / 2038633446
111 Colchester Ave Burlington, VT 054011473 8028470000
HPT Codes
CodePractice
License No
State
2085P0229X PRIMARY
Allopathic & Osteopathic Physicians
Radiology
Radiology: Pediatric Radiology

Diagnostics/Imaging/Laboratory/Mammography

Radiology Pediatric Radiology
Allopathic & Osteopathic Physicians
Radiology
MT224955
PA
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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