Provider Demographics
NPI:1760426829
Name:FRANK, RONALD GARY (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:GARY
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 PLEASANT VALLEY WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2956
Mailing Address - Country:US
Mailing Address - Phone:973-731-6600
Mailing Address - Fax:
Practice Address - Street 1:1500 PLEASANT VALLEY WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2956
Practice Address - Country:US
Practice Address - Phone:973-731-6600
Practice Address - Fax:973-731-5690
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2012-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05563200208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE91872Medicare UPIN
NJ679521Medicare PIN
NJ0721620001Medicare NSC