Provider Demographics
NPI:1215023577
Name:E WILLIAM FRANK MD DERMATOLOGY ASSOCIATES OF S NH
Entity Type:Organization
Organization Name:E WILLIAM FRANK MD DERMATOLOGY ASSOCIATES OF S NH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-889-4149
Mailing Address - Street 1:76 ALLDS ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4758
Mailing Address - Country:US
Mailing Address - Phone:603-889-4149
Mailing Address - Fax:603-889-7648
Practice Address - Street 1:76 ALLDS ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-889-4149
Practice Address - Fax:603-889-7648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9566207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAZE0152OtherMEDEX
NH200057068OtherMVP
NH0107257Y0NH01OtherANTHEM BCBS
NH31191OtherCIGNA HEALTHCARE
NHDA6780OtherRAILROAD MEDICARE
NH2277394OtherAETNA HEALTHCARE
NH61556OtherHPHC
NH607875OtherTUFTS HEALTHPLAN
NH61556OtherHPHC
NH2277394OtherAETNA HEALTHCARE