Provider Demographics
NPI:1407847932
Name:FRANKEL, TRINA (MD)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:FRANKEL
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 1:120 MILLBURN AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1942
Mailing Address - Country:US
Mailing Address - Phone:973-467-9282
Mailing Address - Fax:973-467-0340
Practice Address - Street 1:120 MILLBURN AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1942
Practice Address - Country:US
Practice Address - Phone:973-467-9282
Practice Address - Fax:973-467-0340
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA25771207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06681Medicare UPIN
NJ044209Medicare PIN