Healthcare Provider Details

I. General information

NPI: 1033043542
Provider Name (Legal Business Name): ADAM FRANGE DNP, AGPCNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 WESTERN AVE
BRIGHTON MA
02135-1007
US

IV. Provider business mailing address

77 HEMLOCK ST
ARLINGTON MA
02474-2146
US

V. Phone/Fax

Practice location:
  • Phone: 617-783-0500
  • Fax:
Mailing address:
  • Phone: 516-606-4446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN10011121
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: