Provider Demographics
NPI:1689055188
Name:FRANKLIN DUANE MEDICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:FRANKLIN DUANE MEDICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:KREB
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:610-212-6500
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-0742
Mailing Address - Country:US
Mailing Address - Phone:610-565-3748
Mailing Address - Fax:484-442-8619
Practice Address - Street 1:140 CHESWOLD LN
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1802
Practice Address - Country:US
Practice Address - Phone:610-212-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019161E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty