Provider Demographics
NPI:1871672022
Name:FRENDA, FRANK PETER (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:PETER
Last Name:FRENDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 GREEN VILLAGE ROAD
Mailing Address - Street 2:BOX 32
Mailing Address - City:GREEN VILLAGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07935
Mailing Address - Country:US
Mailing Address - Phone:973-822-2900
Mailing Address - Fax:973-822-2980
Practice Address - Street 1:278 GREEN VILLAGE ROAD
Practice Address - Street 2:BOX 32
Practice Address - City:GREEN VILLAGE
Practice Address - State:NJ
Practice Address - Zip Code:07935
Practice Address - Country:US
Practice Address - Phone:973-822-2900
Practice Address - Fax:973-822-2980
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA023053208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ141418Medicare ID - Type Unspecified
C53514Medicare UPIN