Healthcare Provider Details

I. General information

NPI: 1467795542
Provider Name (Legal Business Name): FRANK AND SUSSMAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 SUNSET STRIP SUITE 409
SUCCASUNNA NJ
07876-1345
US

IV. Provider business mailing address

66 SUNSET STRIP SUITE 409
SUCCASUNNA NJ
07876-1345
US

V. Phone/Fax

Practice location:
  • Phone: 973-252-9292
  • Fax: 973-252-9377
Mailing address:
  • Phone: 973-252-9292
  • Fax: 973-252-9377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00047900
License Number StateNJ

VIII. Authorized Official

Name: MR. STEPHEN C. FRANK
Title or Position: OWNER
Credential: R.P.T.
Phone: 973-252-9292