Provider Demographics
NPI:1669594388
Name:ST. GEORGE, FRANK ANTHONY (MS, PA-C)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANTHONY
Last Name:ST. GEORGE
Suffix:
Gender:M
Credentials:MS, PA-C
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Mailing Address - Street 1:94 OLD SHORT HILLS ROAD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-322-2200
Mailing Address - Fax:973-422-9636
Practice Address - Street 1:94 OLD SHORT HILLS ROAD
Practice Address - Street 2:
Practice Address - City:LIVINSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-322-2200
Practice Address - Fax:973-422-9636
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00107600208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MP00107600OtherLICENSE