Healthcare Provider Details

I. General information

NPI: 1801954029
Provider Name (Legal Business Name): FRANK EHRLICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CENTRAL AVE
NEWARK NJ
07102-1909
US

IV. Provider business mailing address

2 CURTIS TER
MONTCLAIR NJ
07042-2505
US

V. Phone/Fax

Practice location:
  • Phone: 973-877-5616
  • Fax:
Mailing address:
  • Phone: 973-655-1462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number64022
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number64022
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: