Provider Demographics
NPI:1366653875
Name:FRANK GUNZBURG, PH.D., P.,A.
Entity Type:Organization
Organization Name:FRANK GUNZBURG, PH.D., P.,A.
Other - Org Name:DR. FRANK GUNZBURG, P.A.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNZBURG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-961-9091
Mailing Address - Street 1:10 CROSSROADS DR STE 117
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5465
Mailing Address - Country:US
Mailing Address - Phone:410-654-1300
Mailing Address - Fax:
Practice Address - Street 1:10 CROSSROADS DR STE 117
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5465
Practice Address - Country:US
Practice Address - Phone:410-654-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty