Provider Demographics
NPI:1942310651
Name:VOGEL, FRANKLIN JR (DPM)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:VOGEL
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 N BROOKSIDE ROAD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064
Mailing Address - Country:US
Mailing Address - Phone:610-544-3671
Mailing Address - Fax:610-544-1158
Practice Address - Street 1:3 N BROOKSIDE ROAD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064
Practice Address - Country:US
Practice Address - Phone:610-544-3671
Practice Address - Fax:610-544-1158
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001299L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0032713000OtherKEYSTONE HMO
PA0032713000OtherINDEPENDENCE BC
PA048575OtherHIGHMARK BS
PA1002068Medicaid
PA480129171OtherRAILROAD MEDICARE
PA048575OtherINDEPENDENCE BC
PA048575OtherHIGHMARK BS
PA048575OtherINDEPENDENCE BC
PA0032713000OtherKEYSTONE HMO