Provider Demographics
NPI:1134454549
Name:OLEG FRANK MD PC
Entity type:Organization
Organization Name:OLEG FRANK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-970-8380
Mailing Address - Street 1:40 FERRY ST
Mailing Address - Street 2:REAR
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1432
Mailing Address - Country:US
Mailing Address - Phone:973-344-4470
Mailing Address - Fax:973-344-4476
Practice Address - Street 1:40 FERRY ST
Practice Address - Street 2:REAR
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1432
Practice Address - Country:US
Practice Address - Phone:973-344-4470
Practice Address - Fax:973-344-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-03
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty