Provider Demographics
NPI:1104857879
Name:HUNTER, FRANCES CARROLL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:CARROLL
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-1626
Mailing Address - Country:US
Mailing Address - Phone:215-324-5904
Mailing Address - Fax:
Practice Address - Street 1:5116 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-1626
Practice Address - Country:US
Practice Address - Phone:215-324-5904
Practice Address - Fax:215-324-3844
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039344L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00968006Medicaid
PAC28535Medicare UPIN
PAHU54075Medicare ID - Type Unspecified