Healthcare Provider Details
I. General information
NPI: 1992843940
Provider Name (Legal Business Name): FRANK F LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/02/2007
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 STERIGERE ST NORRISTOWN STATE HOSPITAL
NORRISTOWN PA
19401-5300
US
IV. Provider business mailing address
128 CLEMSON RD
BRYN MAWR PA
19010-3719
US
V. Phone/Fax
- Phone: 610-313-5752
- Fax: 610-313-1013
- Phone: 610-527-1144
- Fax: 215-722-1389
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD-032567-E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: