Provider Demographics
NPI: | 1437228020 |
---|---|
Name: | FRANK O'BRIEN M.D. P.C. |
Entity Type: | Organization |
Organization Name: | FRANK O'BRIEN M.D. P.C. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | FRANK |
Authorized Official - Middle Name: | D |
Authorized Official - Last Name: | OBRIEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 570-288-3535 |
Mailing Address - Street 1: | PO BOX 1746 |
Mailing Address - Street 2: | |
Mailing Address - City: | KINGSTON |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18704-0746 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 570-288-3535 |
Mailing Address - Fax: | 570-288-0808 |
Practice Address - Street 1: | 390 PIERCE ST |
Practice Address - Street 2: | |
Practice Address - City: | KINGSTON |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18704-5532 |
Practice Address - Country: | US |
Practice Address - Phone: | 570-288-3535 |
Practice Address - Fax: | 570-288-0804 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-07 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | MD034202E | 207X00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Single Specialty |