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NPI Code Detail

MEDICARE: DR. FRANK IANNETTA M.D

MEDICARE:  DR. FRANK  IANNETTA  M.D
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
1207Q00000XFamily Medicine Physician25MA05363400NJ

General Provider Information

NPI Number : 1881621217
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK IANNETTA M.D
Provider Business Mailing Address
First Line : 402 LIPPINCOTT DR
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4112
Country : US
Telephone Number : 856-782-3300
Fax Number : 856-504-8029
Provider Business Practice Location Address
First Line : 170 CHANGEBRIDGE RD BLDG C3
Second Line :
City : MONTVILLE
State : NJ
Zip : 07045-9112
Country : US
Telephone Number : 973-575-5540
Fax Number : 973-575-4885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/28/2023

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Directions to “ DR. FRANK IANNETTA M.D” Practice Location

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