Provider Demographics
NPI:1285666719
Name:FECHNER, FRANK P (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:FECHNER
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 1:428 SHREWSBURY ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-1661
Mailing Address - Country:US
Mailing Address - Phone:508-754-4000
Mailing Address - Fax:508-754-4222
Practice Address - Street 1:428 SHREWSBURY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-1661
Practice Address - Country:US
Practice Address - Phone:508-754-4000
Practice Address - Fax:508-754-4222
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219725207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA37782Medicare UPIN