Individual provider · Type 1 NPI

Justin Tyler Frisenda, DO

Trauma Surgery Physician · Philadelphia, PA

NPI number 1063879773 Active

Practice location

51 North 39th Street, Medical Office Building, 1st Floor, Suite 120
Philadelphia, PA 19104-2640

Call (215) 662-7320 Map

Fax (215) 243-4605

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician Primary 2086S0127XOS025977 (PA)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1063879773

Justin Tyler Frisenda, DO's National Provider Identifier is 1063879773, issued on Jan 26, 2016. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 16, 2026.