Healthcare Provider Details

I. General information

NPI: 1275761421
Provider Name (Legal Business Name): ANNE FRANK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE GABONAY M.D.

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 S FEDERAL BLVD
DENVER CO
80219-4235
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-0002
  • Fax: 303-602-0050
Mailing address:
  • Phone: 303-602-0002
  • Fax: 303-602-0340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberLP01761
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberLP01761
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0052792
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: