MEDICARE: FRANK WILLIAM MARCANTONIO PA-C

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	363AS0400X	Surgical Physician Assistant	C50000449	DE
2	363AS0400X	Surgical Physician Assistant	MA052298	PA
3	363AS0400X	Surgical Physician Assistant	C0009790	MD
4	363A00000X	Physician Assistant	MA052298	PA
5	363AS0400X	Surgical Physician Assistant	25MP00160000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G01050	OTHER	DE	MC GROUP #

General Provider Information

NPI Number	:	1548214695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK WILLIAM MARCANTONIO PA-C

Provider Business Mailing Address
First Line	:	PO BOX 8500-6335
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-0001
Country	:	US
Telephone Number	:	215-612-4000
Fax Number	:	215-807-8235

Provider Business Practice Location Address
First Line	:	923 HEATHERWOOD DR
Second Line	:
City	:	EAST NORRITON
State	:	PA
Zip	:	19403-4427
Country	:	US
Telephone Number	:	215-873-3279
Fax Number	:

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	12/04/2025

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Directions to “ FRANK WILLIAM MARCANTONIO PA-C” Practice Location

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