MEDICARE: DR. MICHAEL JAY FRANK D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	01350	MD

General Provider Information

NPI Number	:	1548266802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAY FRANK D.P.M.

Provider Business Mailing Address
First Line	:	3408 OLANDWOOD CT
Second Line	:	SUITE 204
City	:	OLNEY
State	:	MD
Zip	:	20832-1367
Country	:	US
Telephone Number	:	301-924-5044
Fax Number	:	301-924-5933

Provider Business Practice Location Address
First Line	:	5801 ALLENTOWN RD STE 305
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4553
Country	:	US
Telephone Number	:	301-868-7670
Fax Number	:	301-868-4362

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	01/04/2019

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