Healthcare Provider Details

I. General information

NPI: 1912990920
Provider Name (Legal Business Name): FRANK ACCHIONE JR. CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MILL PARK LANE
MARLTON NJ
08053-4129
US

IV. Provider business mailing address

50 MILL PARK LN
MARLTON NJ
08053-9711
US

V. Phone/Fax

Practice location:
  • Phone: 609-922-1173
  • Fax: 856-988-6270
Mailing address:
  • Phone: 609-922-1173
  • Fax: 856-988-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNR88221
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: