Organization
DR KENNETH FRANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FRANK DPM (OWNER)
(908) 810-9390
Entity
Organization
Contact information
Practice address
111 MULBERRY ST, SUITE 1R, NEWARK, NJ 07102-4008
(908) 810-9390
Mailing address
2702 ANDREA RD, UNION, NJ 07083-6428
(908) 810-9390
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00141600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8383201
—
NJ
01
—
P00185429
RAILROAD MEDICARE
NJ
Enumeration date
05/01/2007
Last updated
03/22/2010
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