Provider Demographics
NPI:1841006673
Name:TOMAKA, FRANK LEO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LEO
Last Name:TOMAKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E BELLS MILL RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2616
Mailing Address - Country:US
Mailing Address - Phone:215-400-0579
Mailing Address - Fax:
Practice Address - Street 1:133 E BELLS MILL RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2616
Practice Address - Country:US
Practice Address - Phone:215-400-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438742207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine