Provider Demographics
NPI:1083611255
Name:FRANK, MARCELLA M (DO)
Entity Type:Individual
Prefix:DR
First Name:MARCELLA
Middle Name:M
Last Name:FRANK
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 8500-9052
Mailing Address - Street 2:SLEEP CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:17178-9052
Mailing Address - Country:US
Mailing Address - Phone:609-815-7810
Mailing Address - Fax:609-815-7814
Practice Address - Street 1:1401 WHITEHOURSE-MERCERVILLE ROAD
Practice Address - Street 2:SUITE 219
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3834
Practice Address - Country:US
Practice Address - Phone:609-584-5150
Practice Address - Fax:602-584-5144
Is Sole Proprietor?:No
Enumeration Date:2005-07-03
Last Update Date:2021-04-07
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB036331207RP1001X, 207RS0012X
NJ25MB03633100207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2336006Medicaid
NJ199800Medicare PIN
NJ2336006Medicaid
NJFR199800Medicare ID - Type Unspecified