Healthcare Provider Details

I. General information

NPI: 1578595559
Provider Name (Legal Business Name): FRANKLIN PEDIATRIC ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N 13TH ST
FRANKLIN PA
16323-2312
US

IV. Provider business mailing address

110 N 13TH ST
FRANKLIN PA
16323-2312
US

V. Phone/Fax

Practice location:
  • Phone: 814-437-1541
  • Fax: 814-432-2439
Mailing address:
  • Phone: 814-437-1541
  • Fax: 814-432-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DEBRA J COOKE
Title or Position: OFFICE MANAGER
Credential:
Phone: 814-437-1541