Provider Demographics
NPI:1760522163
Name:FRANKEL, SUSAN LINDA (DO)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:LINDA
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:908-516-9245
Mailing Address - Fax:908-516-9265
Practice Address - Street 1:535 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-2002
Practice Address - Country:US
Practice Address - Phone:410-402-2137
Practice Address - Fax:410-469-3094
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2023-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMB055554207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7182805Medicaid
NJFR793747Medicare ID - Type Unspecified
NJ7182805Medicaid