Provider Demographics
NPI:1083383632
Name:FRANK FANG PLASTIC SURGERY
Entity Type:Organization
Organization Name:FRANK FANG PLASTIC SURGERY
Other - Org Name:FANG PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:FANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-270-3258
Mailing Address - Street 1:970 N KALAHEO AVE STE C108
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1871
Mailing Address - Country:US
Mailing Address - Phone:617-270-3258
Mailing Address - Fax:
Practice Address - Street 1:970 N KALAHEO AVE STE C108
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1871
Practice Address - Country:US
Practice Address - Phone:617-270-3258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty