Individual
ANDREA J FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D O P C
Contact information
Practice address
66 S 21ST ST, KENILWORTH, NJ 07033-1626
(908) 276-4447
Mailing address
4700N HABANA AVE 700, TAMPA, FL 33614-7122
(813) 763-1151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB50885
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067563
—
NJ
01
—
0281079001
AMERIHEALTH
—
01
—
0K8035
HEALTH NET
—
01
—
6100225
GHI
—
01
—
CK2496
RAILROAD MEDICARE
—
01
—
UP079
OXFORD
—
Enumeration date
08/18/2006
Last updated
12/30/2015
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