Healthcare Provider Details

I. General information

NPI: 1932219516
Provider Name (Legal Business Name): STEVEN FRANK D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 WINTHROP ST
REHOBOTH MA
02769-1227
US

IV. Provider business mailing address

538 WINTHROP ST
REHOBOTH MA
02769-1227
US

V. Phone/Fax

Practice location:
  • Phone: 508-336-9200
  • Fax: 508-336-9303
Mailing address:
  • Phone: 508-336-9200
  • Fax: 508-336-9303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number77856
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: