Provider Demographics
NPI:1104892470
Name:FRENDUTO, FRANK ALAN (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:ALAN
Last Name:FRENDUTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:209 EAST CARVER ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-471-2273
Mailing Address - Fax:919-479-0881
Practice Address - Street 1:209 EAST CARVER ST
Practice Address - Street 2:DURHAM WOMENS CLINIC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-471-2273
Practice Address - Fax:919-479-0881
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800538207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1140POtherBCBS
NC07-53809OtherUHC
NC2253947DOtherMEDICARE PDC
NC562142486OtherAETNA
NC562142486OtherBEECHSTREET
NC891140PMedicaid
NC82633OtherMEDCOST
NC154767OtherWELLPATH
NC562142486V7OtherCIGNA
NC562142486OtherAETNA
NC562142486OtherBEECHSTREET