Provider Demographics
NPI:1093708828
Name:MACRI, FRANK (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:MACRI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 HENRY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19129
Mailing Address - Country:US
Mailing Address - Phone:215-877-7330
Mailing Address - Fax:215-765-7776
Practice Address - Street 1:7 BALA AVE STE 203
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3205
Practice Address - Country:US
Practice Address - Phone:215-877-7330
Practice Address - Fax:215-877-7479
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003259L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001135679Medicaid
524827OtherMEDICARE
PA0013268000OtherIND BLUE CROSS
PA1135679Medicaid
PA0013268000OtherIND BLUE CROSS