Provider Demographics
NPI:1356303648
Name:FRANKEL, VICTOR ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:ROBERT
Last Name:FRANKEL
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:PO BOX 8627
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-0627
Mailing Address - Country:US
Mailing Address - Phone:856-755-1616
Mailing Address - Fax:856-755-0098
Practice Address - Street 1:64 CENTRAL SQ
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2167
Practice Address - Country:US
Practice Address - Phone:609-601-2324
Practice Address - Fax:609-601-2327
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04116100207XX0005X
PAMD031371E207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K5869OtherHEALTHNET PROVIDER NUMB
NJP2949494OtherOXFORD PROVIDER NUMBER
NJ74020OtherFIRST HEALTH PROV NUMBER
NJ1172529OtherHORIZON NJ HEALTH PROV NU
NJ111791OtherAMERIGROUP PROVIDER NUMB
NJ01000528901OtherAMERICHOICE PROVIDER NUMB
NJ4657698OtherAETNA PROVIDER NUMBER
NJ2358828000OtherAMERIHEALTH PROVIDER NUM
NJH36451Medicare UPIN
NJ047664Medicare ID - Type Unspecified