Healthcare Provider Details

I. General information

NPI: 1477939684
Provider Name (Legal Business Name): FRANK L. KARDOS MD,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 HAMBURG TPKE STE 23
WAYNE NJ
07470-2110
US

IV. Provider business mailing address

220 HAMBURG TPKE STE 23
WAYNE NJ
07470-2110
US

V. Phone/Fax

Practice location:
  • Phone: 973-956-1200
  • Fax: 973-595-0304
Mailing address:
  • Phone: 973-956-1200
  • Fax: 973-595-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number25MA01779900
License Number StateNJ

VIII. Authorized Official

Name: DR. FRANK KARDOS
Title or Position: OWNER
Credential: M.D.
Phone: 973-956-1200