Provider Demographics
NPI:1386676674
Name:TWAROG, FRANK J (MD,PHD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:TWAROG
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:86 BAKER AVENUE EXT STE 304
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2132
Mailing Address - Country:US
Mailing Address - Phone:978-369-3567
Mailing Address - Fax:978-369-5811
Practice Address - Street 1:86 BAKER AVENUE EXT STE 304
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2132
Practice Address - Country:US
Practice Address - Phone:978-369-3567
Practice Address - Fax:978-369-5811
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA34521207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy