Provider Demographics
NPI:1184778938
Name:SCERBO, FRANK JOHN (DPT)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:SCERBO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 DUNLIN PLZ
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2201
Mailing Address - Country:US
Mailing Address - Phone:201-600-0346
Mailing Address - Fax:
Practice Address - Street 1:725 RIVER RD
Practice Address - Street 2:SUITE 60
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1171
Practice Address - Country:US
Practice Address - Phone:201-600-0346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00973000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097390UYBMedicare ID - Type UnspecifiedRENDERING NUMBER