Healthcare Provider Details

I. General information

NPI: 1205826658
Provider Name (Legal Business Name): FRANK E POLITZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 KEISER BLVD
WYOMISSING PA
19610
US

IV. Provider business mailing address

2605 KEISER BLVD
WYOMISSING PA
19610
US

V. Phone/Fax

Practice location:
  • Phone: 610-685-8500
  • Fax: 610-378-5131
Mailing address:
  • Phone: 610-685-8500
  • Fax: 610-378-5131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD-041557-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: