Provider Demographics
NPI:1104321132
Name:FRANKEL, JULIA WISE (DO)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:WISE
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3235 BRIDGE RD STE 15
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1780
Mailing Address - Country:US
Mailing Address - Phone:757-606-1656
Mailing Address - Fax:757-606-1657
Practice Address - Street 1:3235 BRIDGE RD STE 15
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1780
Practice Address - Country:US
Practice Address - Phone:757-606-1656
Practice Address - Fax:757-606-1657
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0102205838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program