Provider Demographics
NPI:1740486679
Name:JEFFREY FRANK, M.D.,PC
Entity type:Organization
Organization Name:JEFFREY FRANK, M.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SITE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-777-8600
Mailing Address - Street 1:1212 LIGGETT AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1838
Mailing Address - Country:US
Mailing Address - Phone:610-777-8600
Mailing Address - Fax:610-777-3050
Practice Address - Street 1:1212 LIGGETT AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1838
Practice Address - Country:US
Practice Address - Phone:610-777-8600
Practice Address - Fax:610-777-3050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA013640E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02336800OtherCAPITAL BLUE CROSS
PA089738Medicare ID - Type Unspecified
PA02336800OtherCAPITAL BLUE CROSS