Provider Demographics
NPI:1477576122
Name:FRANKEL, HARRY A (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:A
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E HECTOR ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2374
Mailing Address - Country:US
Mailing Address - Phone:610-828-2608
Mailing Address - Fax:610-828-0102
Practice Address - Street 1:1100 E HECTOR ST
Practice Address - Street 2:SUITE 105
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2374
Practice Address - Country:US
Practice Address - Phone:610-828-2608
Practice Address - Fax:610-828-0102
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023097E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA23-2359401OtherMLHC TAX ID
PA0017586760002Medicaid
PA154443HK1Medicare PIN