Provider Demographics
NPI:1467443317
Name:MOLE, FRANK S (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:MOLE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1251
Mailing Address - Country:US
Mailing Address - Phone:413-596-8800
Mailing Address - Fax:413-599-1296
Practice Address - Street 1:2440 BOSTON RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1251
Practice Address - Country:US
Practice Address - Phone:413-596-8800
Practice Address - Fax:413-599-1296
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPD1910213E00000X, 213EP1101X, 213ER0200X, 213ES0000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2704384OtherUNITED HEALTHCARE
MA001910OtherTUFTS HEALTH PLAN
CT030001910MA01OtherANTHEM BC/BS
MA14533OtherHEALTH NEW ENGLAND
MA0702676Medicaid
MA001910OtherCONNECTICARE
MA480013360OtherRAILROAD MEDICARE
MA33934OtherHARVARD PILGRIM
MA33934OtherHARVARD PILGRIM
MA001910OtherTUFTS HEALTH PLAN
MA33934OtherHARVARD PILGRIM
MA2704384OtherUNITED HEALTHCARE