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1245235712

NPI Code Detail

MEDICARE: DR. FRANK V BEARDELL MD

MEDICARE: DR. FRANK V BEARDELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	C10005383	DE
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	C10005383	DE
3	207RH0000X	Hematology (Internal Medicine) Physician	MD044539L	PA

General Provider Information

NPI Number	:	1245235712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK V BEARDELL MD

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:	570-271-6578

Provider Business Practice Location Address
First Line	:	1800 MULBERRY ST
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18510-2369
Country	:	US
Telephone Number	:	570-703-8000
Fax Number	:	570-703-8002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	06/07/2022

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Directions to “ DR. FRANK V BEARDELL MD” Practice Location

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