Provider Demographics
NPI:1326101288
Name:FRAENKEL, PAULA G (MD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:G
Last Name:FRAENKEL
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 1:330 LONGWOOD AVE
Mailing Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER, SLD423B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5746
Mailing Address - Country:US
Mailing Address - Phone:617-632-9251
Mailing Address - Fax:
Practice Address - Street 1:330 LONGWOOD AVE
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER, SHAPIRO 9
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5746
Practice Address - Country:US
Practice Address - Phone:617-632-9251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205647207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2000784Medicaid
MA2000784Medicaid