Organization
LONGWOOD OTOLARYNGOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANDREW FRANKENTHALER M.D. (PRESIDENT)
(617) 975-2800
Entity
Organization
Contact information
Practice address
1223 BEACON ST, BROOKLINE, MA 02446-5302
(617) 975-2800
(617) 975-2825
Mailing address
1223 BEACON ST, BROOKLINE, MA 02446-5302
(617) 975-2800
(617) 975-2825
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
79762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9716891
—
MA
Enumeration date
09/21/2006
Last updated
08/22/2020
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