Individual
FRANK R PENATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(810) 377-7080
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(800) 456-4829
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD018153E
PA
207Q00000X
Family Medicine Physician
Primary
MD018153E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010480900004
—
PA
Enumeration date
12/16/2005
Last updated
03/20/2020
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