Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2122 | WV |
N | 207Q00000X | Family Doctor | 036144558 | IL |
N | 207Q00000X | Family Doctor | 2122 | WV |
N | 207Q00000X | Family Doctor | 34011609 | OH |
N | 207Q00000X | Family Doctor | 5101024644 | MI |
Y | 207Q00000X | Family Doctor | OS16054 | FL |
NPI | 1043416696 |
---|---|
Provider Name | Dr. Jennifer A. Frangos |
First Address | New York, NY 10011-4127 |
Second Address | Lauderdale Lakes, FL 33319-5868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 02/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0090671 | (05) | OH |
3810009870 | (05) | WV |