Healthcare Provider Details

I. General information

NPI: 1053600569
Provider Name (Legal Business Name): FRANK ALFRED DELIA D. O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 S STATE ST
EPHRATA PA
17522-2601
US

IV. Provider business mailing address

1170 S STATE ST
EPHRATA PA
17522-2601
US

V. Phone/Fax

Practice location:
  • Phone: 717-859-8000
  • Fax: 561-969-7570
Mailing address:
  • Phone: 717-859-8000
  • Fax: 561-969-7570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS004822L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS004822L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: