Provider Demographics
NPI:1154535185
Name:MARTUCCI, FRANK JAY (RN,CNOR,CRNFA)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JAY
Last Name:MARTUCCI
Suffix:
Gender:M
Credentials:RN,CNOR,CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 TORI CT
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-9544
Mailing Address - Country:US
Mailing Address - Phone:215-862-1903
Mailing Address - Fax:215-862-3119
Practice Address - Street 1:535 TORI CT
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-9544
Practice Address - Country:US
Practice Address - Phone:215-862-1903
Practice Address - Fax:215-862-3119
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10066300163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant