Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | MB036331 | NJ |
Y | 207RS0012X | Sleep Medicine | 25MB03633100 | NJ |
N | 207RS0012X | Sleep Medicine | MB036331 | NJ |
NPI | 1083611255 |
---|---|
Provider Name | Dr. Marcella M. Frank |
First Address | Philadelphia, PA 17178-9052 |
Second Address | Hamilton, NJ 08619-3834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2005 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2336006 | (05) | NJ |
E13265 | (02) | NJ |