Provider Demographics
NPI:1114987849
Name:DEFRANK, FRANK N (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:N
Last Name:DEFRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 EMRICK BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8037
Mailing Address - Country:US
Mailing Address - Phone:610-419-6426
Mailing Address - Fax:610-438-6135
Practice Address - Street 1:3101 EMRICK BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8037
Practice Address - Country:US
Practice Address - Phone:610-419-6426
Practice Address - Fax:610-438-6135
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025518E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B37295Medicare UPIN
PA123376Medicare ID - Type Unspecified