Provider Demographics
NPI:1568636736
Name:PALLANTE, FRANK ALPHONSE (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ALPHONSE
Last Name:PALLANTE
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:112 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-8938
Mailing Address - Country:US
Mailing Address - Phone:610-345-0731
Mailing Address - Fax:
Practice Address - Street 1:112 RED OAK DR
Practice Address - Street 2:
Practice Address - City:LINCOLN UNIVERSITY
Practice Address - State:PA
Practice Address - Zip Code:19352-8938
Practice Address - Country:US
Practice Address - Phone:610-345-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC5-0000342363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical