MEDICARE: DR. FRANK JOSEPH CIUBA DPT, MS

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	174400000X	Specialist	PT002940E	PA
2	225100000X	Physical Therapist	DAPT000015	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0877651000	OTHER	PA	KEYSTONE HEALTH PLAN EAST
2	186229	OTHER	PA	BLUE CROSS/BLUE SHIELD
3	0724395000	OTHER	PA	INDEPENDENCE BLUE CROSS
4	I27665	OTHER	PA	AMERIHEALTH
5	000186229	OTHER	PA	HIGHMARK BLUE SHIELD
6	2101185	OTHER		AETNA

General Provider Information

NPI Number	:	1942279393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK JOSEPH CIUBA DPT, MS

Provider Business Mailing Address
First Line	:	2740 SHELLY RD
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1281
Country	:	US
Telephone Number	:	215-513-1816
Fax Number	:	215-513-1785

Provider Business Practice Location Address
First Line	:	2740 SHELLY RD
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1281
Country	:	US
Telephone Number	:	215-513-1816
Fax Number	:	215-513-1785

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	12/07/2012

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