Provider Demographics
NPI:1861464539
Name:ARENA, FRANK PAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:ARENA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:50 NEWARK AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1185
Mailing Address - Country:US
Mailing Address - Phone:973-751-5208
Mailing Address - Fax:973-751-0849
Practice Address - Street 1:50 NEWARK AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1185
Practice Address - Country:US
Practice Address - Phone:973-751-5208
Practice Address - Fax:973-751-0849
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00135600213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1093606Medicaid
NJT45109Medicare UPIN