Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PD1910 | MA |
N | 222Z00000X | Podiatrist | PD1910 | MA |
Y | 213EP1101X | Primary Podiatric Medicine | PD1910 | MA |
N | 111NR0200X | Radiology | PD1910 | MA |
N | 213ER0200X | Radiology | PD1910 | MA |
N | 2081S0010X | Sports Medicine | PD1910 | MA |
N | 213ES0000X | Sports Medicine | PD1910 | MA |
N | 213ES0131X | Foot Surgery | PD1910 | MA |
NPI | 1467443317 |
---|---|
Provider Name | Dr. Frank S. Mole |
First Address | Wilbraham, MA 01095-1251 |
Second Address | Wilbraham, MA 01095-1251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 16/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001910 | CONNECTICARE (01) | MA |
001910 | TUFTS HEALTH PLAN (01) | MA |
030001910MA01 | ANTHEM BC/BS (01) | CT |
0702676 | (05) | MA |
14533 | HEALTH NEW ENGLAND (01) | MA |
2704384 | UNITED HEALTHCARE (01) | MA |
33934 | HARVARD PILGRIM (01) | MA |
480013360 | RAILROAD MEDICARE (01) | MA |
T87243 | (02) | MA |