MEDICARE: FRANK HARRISON HUFFMAN 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	207Q00000X	Family Medicine Physician	0101038924	VA

General Provider Information

NPI Number	:	1467443549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK HARRISON HUFFMAN MD

Provider Business Mailing Address
First Line	:	860 OMNI BLVD STE 128
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4430
Country	:	US
Telephone Number	:	757-232-8769
Fax Number	:	757-232-8875

Provider Business Practice Location Address
First Line	:	1540 BREEZEPORT WAY STE 100
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23435-3752
Country	:	US
Telephone Number	:	757-538-7275
Fax Number	:	757-335-7230

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

Provider Enumeration Date	:	10/29/2005
Last Update Date	:	08/01/2023

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