Healthcare Provider Details

I. General information

NPI: 1679765804
Provider Name (Legal Business Name): JOSEPH LAWRENCE FRENKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2007
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5818 HARBOUR VIEW BLVD SUITE B-2
SUFFOLK VA
23435-3315
US

IV. Provider business mailing address

7007 HARBOUR VIEW BLVD SUITE 108
SUFFOLK VA
23435-3657
US

V. Phone/Fax

Practice location:
  • Phone: 757-483-3030
  • Fax: 757-484-7239
Mailing address:
  • Phone: 757-215-2784
  • Fax: 757-215-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number0101257817
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: