Provider Demographics
NPI:1154390540
Name:KANE, FRANK L (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:KANE
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 1:33 NEWTON SPARTA RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2764
Mailing Address - Country:US
Mailing Address - Phone:973-383-5844
Mailing Address - Fax:973-383-8692
Practice Address - Street 1:33 NEWTON SPARTA RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2764
Practice Address - Country:US
Practice Address - Phone:973-383-5844
Practice Address - Fax:973-383-8692
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA42534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1654608Medicaid
NJ405743DSVMedicare ID - Type Unspecified
NJ1654608Medicaid