Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 044062 | CT |
N | 208600000X | Surgeon | 044062 | CT |
Y | 208200000X | Surgeon | 74409 | MA |
Y | 208600000X | Surgeon | 74409 | MA |
NPI | 1003867318 |
---|---|
Provider Name | Dr. James Leslie Frank |
First Address | Chicopee, MA 01020-1969 |
Second Address | Chicopee, MA 01020-1997 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003088813 | (05) | CT |
110050218A | (05) | MA |