Healthcare Provider Details
I. General information
NPI: 1720004906
Provider Name (Legal Business Name): BARBARA L FRANKOWSKI MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/14/2006
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 S PROSPECT ST
BURLINGTON VT
05401-3456
US
IV. Provider business mailing address
156 SKUNK HOLLOW RD
JERICHO VT
05465-3033
US
V. Phone/Fax
- Phone: 802-847-4696
- Fax:
- Phone: 802-899-1862
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 042.0007287 |
| License Number State | VT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: