Healthcare Provider Details

I. General information

NPI: 1023019452
Provider Name (Legal Business Name): SUSSEX FOOT AND ANKLE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 10/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 ROUTES 6 & 209
MILFORD PA
18337-9414
US

IV. Provider business mailing address

518 ROUTES 6 AND 209
MILFORD PA
18337
US

V. Phone/Fax

Practice location:
  • Phone: 570-409-0123
  • Fax: 570-296-8110
Mailing address:
  • Phone: 570-409-0123
  • Fax: 845-495-0993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC0044281
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberSC0044281
License Number StatePA

VIII. Authorized Official

Name: DR. MARC ROBERT FRANKEL
Title or Position: MANAGING MEMBER
Credential: DPM
Phone: 570-409-0123