Individual
FRANK R GIANNELLI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1314 PARK AVE STE 3, PLAINFIELD, NJ 07060-3253
(732) 235-4445
Mailing address
447 LONGFELLOW AVE, WESTFIELD, NJ 07090-4333
(089) 578-9414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016612
NY
363A00000X
Physician Assistant
25MP00400400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016612
LICENSE
NY
05
—
03630224
—
NY
Enumeration date
07/10/2013
Last updated
06/17/2021
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