MEDICARE: DR. FRANK MACRI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC003259L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	524827	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0013268000	OTHER	PA	IND BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093708828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK MACRI DPM

Provider Business Mailing Address
First Line	:	3910 HENRY AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19129
Country	:	US
Telephone Number	:	215-877-7330
Fax Number	:	215-765-7776

Provider Business Practice Location Address
First Line	:	7 BALA AVE STE 203
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-3205
Country	:	US
Telephone Number	:	215-877-7330
Fax Number	:	215-877-7479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	05/05/2021

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Directions to “ DR. FRANK MACRI DPM” Practice Location

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