Healthcare Provider Details
I. General information
NPI: 1245520212
Provider Name (Legal Business Name): FRANK MACRI, DPM, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2011
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3910 HENRY AVE
PHILA PA
19129-1008
US
IV. Provider business mailing address
3910 HENRY AVE
PHILA PA
19129-1008
US
V. Phone/Fax
- Phone: 215-877-7330
- Fax: 215-877-3710
- Phone: 215-877-7330
- Fax: 215-877-3710
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
FRANK
MACRI
Title or Position: PRESIDENT
Credential: DPM
Phone: 215-877-7330