Provider Demographics
NPI:1104450055
Name:MARK FRANKEL MD LLC
Entity type:Organization
Organization Name:MARK FRANKEL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD/PHD
Authorized Official - Phone:917-575-1641
Mailing Address - Street 1:148 LINDEN ST STE 109
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7916
Mailing Address - Country:US
Mailing Address - Phone:917-575-1641
Mailing Address - Fax:781-489-5476
Practice Address - Street 1:148 LINDEN ST STE 109
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7916
Practice Address - Country:US
Practice Address - Phone:917-575-1641
Practice Address - Fax:781-489-5476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-01
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty