Provider Demographics
NPI:1114027794
Name:CARBONE, FRANK S (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:CARBONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:186 HART ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2152
Mailing Address - Country:US
Mailing Address - Phone:978-927-1919
Mailing Address - Fax:978-927-4571
Practice Address - Street 1:152 CONANT ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1600
Practice Address - Country:US
Practice Address - Phone:978-927-1919
Practice Address - Fax:978-921-1254
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA32223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2021781Medicaid
MAD03087Medicare PIN
MA2021781Medicaid