Provider Demographics
NPI:1477939684
Name:FRANK L. KARDOS MD,PA
Entity Type:Organization
Organization Name:FRANK L. KARDOS MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARDOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-956-1200
Mailing Address - Street 1:220 HAMBURG TPKE
Mailing Address - Street 2:STE 23
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2110
Mailing Address - Country:US
Mailing Address - Phone:973-956-1200
Mailing Address - Fax:973-595-0304
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:STE 23
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-956-1200
Practice Address - Fax:973-595-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA01779900207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ022044Medicare PIN
D06063Medicare UPIN