Healthcare Provider Details

I. General information

NPI: 1215023577
Provider Name (Legal Business Name): E WILLIAM FRANK MD DERMATOLOGY ASSOCIATES OF S NH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 ALLDS ST
NASHUA NH
03060
US

IV. Provider business mailing address

76 ALLDS ST
NASHUA NH
03060-4758
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-4149
  • Fax: 603-889-7648
Mailing address:
  • Phone: 603-889-4149
  • Fax: 603-889-7648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number9566
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number9566
License Number StateNH

VIII. Authorized Official

Name: DR. EDWARD WILLIAM FRANK
Title or Position: OWNER
Credential: MD
Phone: 603-889-4149