Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 0101029555 | VA |
NPI | 1235180357 |
---|---|
Provider Name | Ludwig Matthew Frank |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 09/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001168701 | (05) | DE |
0017164330001 | (05) | PA |
006104819 | (05) | VA |
216841300 | (05) | MD |
890510H | (05) | NC |
C47038 | (02) |